Patricia Camacho

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117687 Issued in CA

Practice address

751 Rancheros Dr
Ste #5
San Marcos, CA 92069-3041

Phone

(760) 761-0515

Fax

(760) 761-0464

NPI assigned

Sep 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1609277987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 RANCHEROS DR",
            "address_2": "STE #5",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693041",
            "telephone_number": "760-761-0515",
            "fax_number": "760-761-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 RANCHEROS DR",
            "address_2": "STE #5",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693041",
            "telephone_number": "760-761-0515",
            "fax_number": "760-761-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Emergency Physicians Medical Group
• California Emergency Physicians Medical Group, a Professional Corporat
• California Pediatrics, Inc.
• Brianna Calva
• Brenda Camacho
• Renee Camarena
• Leonel Camiro
• Adrienna Marie Campos
• Denise Campuzano
• Jordyn Candlish

• Marriage & Family Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.