Active NPI
Cameron Stewart, BOCO, BOCP
- Prosthetist
- Riverside, CA
National Provider Identifier
1578110508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1760 Chicago Ave Ste L21
Riverside, CA 92507-2326 - Phone
- (517) 827-0009
- Fax
- (877) 310-1729
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetics Case Management | 1744P3200X | |||
| Orthotic Fitter | 225000000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1760 Chicago Ave Ste L21
Riverside, CA 92507-2326
Mailing address
1760 Chicago Ave Ste L21
Riverside, CA 92507-2326
Phone (909) 573-5690
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
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- Lynwood, CA
- NPI 1326804527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1578110508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 CHICAGO AVE STE L21",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072326",
"telephone_number": "909-573-5690",
"fax_number": "877-310-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 CHICAGO AVE STE L21",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072326",
"telephone_number": "517-827-0009",
"fax_number": "877-310-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CAMERON",
"credential": "BOCO, BOCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"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 Feb 26, 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.