Ray Camacho, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

291105 Issued in CA

Practice address

2807 Cochran St
Simi Valley, CA 93065-2775

Phone

(805) 583-9575

Fax

(805) 583-9578

NPI assigned

Feb 8, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Physical Therapy Inc.

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1467467282

  CA, Orthopedic

  Medicare reassignment NPD
• Canyon Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Northridge, CA
  • NPI 1871682062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1457719262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652775",
            "telephone_number": "805-583-5975",
            "fax_number": "058-583-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652775",
            "telephone_number": "805-583-9575",
            "fax_number": "805-583-9578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44501 16th St W Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342884",
            "country_code": "US",
            "telephone_number": "661-974-7033",
            "fax_number": "661-974-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "291105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Kidney Medical Group Inc
• California Sports Concussion
• Maria Teresa Caliva, LMFT, APCC
• Calstate Care Hospice Inc
• Everardo Camacho, DC
• Charlotte E Campbell, D.C.
• Michelle Campbell
• Keith Campeau, M.D.
• Symone Cannon
• Eleanor Cantos, LCSW

• Orthopedic Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.