Charles McCammon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G51047 Issued in CA

Practice address

6235 River Crest Dr
Suite L
Riverside, CA 92507-0758

Phone

(951) 413-1200

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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.

• Visiting Nurse Association of the Inland Counties

  • Home Health Agency
  • Riverside, CA
  • NPI 1174525380
  NPD (past)
• Visiting Nurse Association of the Inland Counties

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1912051244
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508999715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 RIVER CREST DR",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070758",
            "telephone_number": "951-413-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 RIVER CREST DR",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070758",
            "telephone_number": "951-413-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMMON",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G51047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delia Elizabeth McCafferty
• Andrew McCague, DO, FACOS, FACS
• Betsy Jane McCalister, L.C.S.W.
• Krystal McCall
• Mary Lou McCamish
• Jarrod McCann, PTA
• Shawna McCann, CADC 1
• Hayley McCarthy
• Maureen Margaret McCarthy, RD
• Sara-Amanda McCarthy, L.C.S.W

• All providers in Riverside, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.