Edwin Marcelino Camacho

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

504 W Mission Ave Ste 106
Escondido, CA 92025-1603

Phone

(619) 281-3706

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fred Finch Youth Center

  • Clinical Social Worker
  • San Marcos, CA
  • NPI 1265682504

  Mental Health

  NPD (past)
• Fred Finch Youth Center

  • Clinical Social Worker
  • San Marcos, CA
  • NPI 1881354736
  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1609345404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W MISSION AVE STE 106",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MISSION AVE STE 106",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251603",
            "telephone_number": "619-281-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "EDWIN",
        "middle_name": "MARCELINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Emergency Physicians Medical Group, a Professional Corporat
• Wendy Elgin Callahan, L.V.N.
• April A Callejas
• Nicolas Elias Calvillo, MD
• Karina Calzada
• Ashleigh Mairin-Elizabeth Camarda, M.S.
• Vincent Camarda, PH D MFT
• Melissa Noel Camejo, SLP
• Charlemagne Cameron, CMT
• Tifany N Camilo Espana

• Mental Health Counselor in Escondido, CA
• Providers in Escondido, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.