Organization Active NPI

Benjamin O Camacho M D F a C P a Medical Corporation

  • Cardiovascular Disease Physician
  • National City, CA
National Provider Identifier
1639290125
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A52660 Issued in CA
Legal business name
BENJAMIN O CAMACHO M D F A C P A MEDICAL CORPORATION
Practice address
1615 Sweetwater Rd
National City, CA 91950-7655
Phone
(619) 474-2233
Fax
(619) 474-2211
NPI assigned
Apr 2, 2007
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Benjamin Oclarino Camacho, MDNPI 1699759936
Title
Ceo
Phone
(619) 474-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A52660 CA Primary

Addresses

Primary practice location

1615 Sweetwater Rd
National City, CA 91950-7655

Mailing address

1615 Sweetwater Rd
National City, CA 91950-7655
Phone (619) 474-2233

Other identifiers 1

IdentifierTypeStateIssuer
00A526601MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000249 CA Part B Supplier - Clinic/Group Practice 4587623350 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0970385Doctor Benjamin O Camacho Med Corporation1615 Sweetwater Rd, National City, CA 91950Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

1615 Sweetwater Rd
Ste D
National City, CA 91950
Phone (619) 474-2233

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1639290125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SWEETWATER RD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507655",
            "telephone_number": "619-474-2233",
            "fax_number": "619-474-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SWEETWATER RD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507655",
            "telephone_number": "619-474-2233",
            "fax_number": "619-474-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN O CAMACHO M D F A C P A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "OCLARINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-474-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A52660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A526601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.