Active NPI
Veronica Camacho
- Peer Specialist
- Riverside, CA
National Provider Identifier
1508632977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3125 Myers St
Riverside, CA 92503-5527 - Phone
- (951) 358-4030
- Fax
- (951) 306-3798
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
Primary practice location
3125 Myers St
Riverside, CA 92503-5527
Mailing address
22985 Climbing Rose Dr Apt 137
Moreno Valley, CA 92557-6031
Phone (951) 217-9127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1508632977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22985 CLIMBING ROSE DR APT 137",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576031",
"telephone_number": "951-217-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 MYERS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035527",
"telephone_number": "951-358-4030",
"fax_number": "951-306-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.