Camila Baez-Smith, NP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95032238 Issued in CA

Practice address

4440 Brockton Ave Ste 420
Riverside, CA 92501-4026

Phone

(951) 684-8020

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mario Carcamo MD Inc

  • Specialist
  • Riverside, CA
  • NPI 1821271412
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1619792306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907480100",
            "telephone_number": "310-944-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROCKTON AVE STE 420",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014026",
            "telephone_number": "951-684-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ-SMITH",
        "first_name": "CAMILA",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95032238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGPCNP BC",
            "identifier": "2024071284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGPCNP APRN",
            "identifier": "95032238",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN RN",
            "identifier": "95142807",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nader Walid Badri
• Donnette Baehr
• Michael Baek, D.O.
• Paul Baek
• Kimberly Jones Baesel
• Jazlynn Baez
• Mary E Baez, MFTI
• Roxann Krystal Baeza Jimenez, M.S., CCC-SLP
• Hugh-Philip Bagas
• Adam Baghban, MD

• Primary Care Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.