Individual provider Active NPI

Adela Navarro-Camarillo, REGISTERED NURSE PHN

  • Case Management Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1679850820
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
451563 Issued in CA
Practice address
600 S Commonwealth Ave Ste 800
Los Angeles, CA 90005-4018
Phone
(121) 363-9642
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 451563 CA Primary

Addresses

Primary practice location

600 S Commonwealth Ave Ste 800
Los Angeles, CA 90005-4018

Mailing address

600 S Commonwealth Ave Ste 800
Los Angeles, CA 90005-4018
Phone (121) 363-9642

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
451563CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1679850820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COMMONWEALTH AVE STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054018",
            "telephone_number": "121-363-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COMMONWEALTH AVE STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054018",
            "telephone_number": "121-363-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO-CAMARILLO",
        "first_name": "ADELA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "451563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.