Individual provider Active NPI

Camille Victoria Larracas, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1609449156
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106686 Issued in CA
Practice address
338 Spear St Unit 12C
San Francisco, CA 94105-6173
Phone
(925) 286-6666
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106686 CA Primary

Addresses

Primary practice location

338 Spear St Unit 12C
San Francisco, CA 94105-6173

Mailing address

338 Spear St Unit 12C
San Francisco, CA 94105-6173
Phone (925) 286-6666

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1609449156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 SPEAR ST UNIT 12C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941056173",
            "telephone_number": "925-286-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 SPEAR ST UNIT 12C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941056173",
            "telephone_number": "925-286-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRACAS",
        "first_name": "CAMILLE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.