Individual provider Active NPI

Timothy Stephen Caminata Jr., MSN FNP-C

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1649827882
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012520 Issued in CA
Practice address
2335 E Kashian LN Ste 280
Fresno, CA 93701-2211
Phone
(559) 320-1090
Fax
(559) 320-0331
NPI assigned
Aug 22, 2019
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012520 CA Primary
Family Nurse Practitioner 363LF0000X 95012520 CA

Addresses

Primary practice location

2335 E Kashian LN Ste 280
Fresno, CA 93701-2211

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118002172 CA Practitioner - Nurse Practitioner 9537591284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2335 E Kashian LN
Suite 301
Fresno, CA 93701-2234
Phone (559) 459-5660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012520CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivek Mittal, M.D. and Manisha Mittal, M.D. Inc. CurrentSince Sep 14, 2019 Accepting new patients
Community Health Partners CurrentSince Jul 9, 2023 Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 260
Fresno, CA 93701
Phone (559) 256-5130

2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2475 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 900-0413

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1649827882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 280",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012211",
            "telephone_number": "559-320-1090",
            "fax_number": "559-320-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINATA",
        "first_name": "TIMOTHY",
        "middle_name": "STEPHEN",
        "name_suffix": "Jr.",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012520",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.