Individual provider Active NPI

Jul-Trenton Camacho Tomas, R.T.

  • Radiologic Technologist
  • Murrieta, CA
National Provider Identifier
1679759609
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
ARRT: 278129 Issued in FL
Practice address
23543 Underwood Cir
Murrieta, CA 92562-4828
Phone
(951) 852-7192
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X ARRT: 278129 FL Primary

Addresses

Primary practice location

23543 Underwood Cir
Murrieta, CA 92562-4828

Mailing address

23543 Underwood Cir
Murrieta, CA 92562-4828
Phone (951) 852-7192

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

State licenses

LicenseStateTypeSpecialty
ARRT: 278129FLMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1679759609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23543 UNDERWOOD CIR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624828",
            "telephone_number": "951-852-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23543 UNDERWOOD CIR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624828",
            "telephone_number": "951-852-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAS",
        "first_name": "JUL-TRENTON",
        "middle_name": "CAMACHO",
        "name_prefix": "Mr.",
        "credential": "R.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "ARRT: 278129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.