Individual provider Active NPI

Camille Washowich

  • Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1467422071
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP16188 Issued in CA
Practice address
2911 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone
(831) 477-2350
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP16188 CA Primary

Addresses

Primary practice location

2911 Chanticleer Ave
Santa Cruz, CA 95065-1815

Mailing address

PO Box 1833
Santa Cruz, CA 95061-1833

Other names 1

  • Camille Laborde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000763 CA Practitioner - Nurse Practitioner 2062490576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16188CAMDMental Health Counselor
NP16188CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Dec 16, 2018 Accepting new patients
Sumeet Bhinder MD Inc CurrentSince Dec 5, 2019 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Sep 1, 2016 Accepting new patients
Kern County Hospital Authority CurrentSince Dec 16, 2018 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Santa Cruz Medical Clinic, Inc Past Accepting new patients
Las Tablas Medical Group,Inc Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Sumeet Bhinder MD Inc PastSince Jan 19, 2025 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

4208 Rosedale Hwy
Ste 302405
Bakersfield, CA 93308
Phone (661) 588-4001

6001 Truxtun Ave
Ste 160
Bakersfield, CA 93309
Phone (661) 323-6410

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

6001 Truxtun Ave
Ste 180
Bakersfield, CA 93309
Phone (661) 588-4001

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Interoperability endpoints

  • Direct secure messaging: camille.washowich.p1@direct.bfmc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJICA

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1467422071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950611833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 CHANTICLEER AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651815",
            "telephone_number": "831-477-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHOWICH",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP16188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "LABORDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.