Individual provider Active NPI

Camille Hana Nawawi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1699265975
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030849 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste C121
La Jolla, CA 92037-1707
Phone
(855) 501-1004
NPI assigned
May 13, 2018
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030849 CA Primary
Mental Health Counselor 101YM0800X
Community Health Worker 172V00000X

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste C121
La Jolla, CA 92037-1707

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

Other practice location 2

6645 Alvarado Rd
San Diego, CA 92120-5208
Phone (858) 249-6748

Other practice location 3

350 Dickinson St
San Diego, CA 92103-1913
Phone (800) 926-8273

Other practice location 4

6363 Greenwich Dr
San Diego, CA 92122-5947
Phone (800) 926-8273

Other practice location 5

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Other practice location 6

1801 Vicente St
San Francisco, CA 94116
Phone (415) 681-3211

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
I20241107002374 CA Practitioner - Nurse Practitioner 1759815160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

875 El Cajon Blvd
El Cajon, CA 92020-5714
Phone (619) 662-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030849CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Mark David Levine M.D. Professional Corporation Mental Health CurrentSince Feb 4, 2026 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 28, 2024 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Feb 4, 2026 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Oct 28, 2024 Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

875 El Cajon Blvd
El Cajon, CA 92020
Phone (619) 205-1950

8950 Villa La Jolla Dr
Ste C106
La Jolla, CA 92037

8950 Villa La Jolla Dr
Ste C121
La Jolla, CA 92037
Phone (858) 768-0028

File 57326
Los Angeles, CA 90074

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

350 Dickinson St
San Diego, CA 92103
Phone (619) 543-6635

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

4510 Executive Dr
Ste 315
San Diego, CA 92121
Phone (858) 534-8019

6645 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3172

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

Interoperability endpoints

  • Direct secure messaging: cnawawi57683@syhealth.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1699265975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C121",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371707",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Alvarado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6645 Alvarado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "858-249-6748",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Dickinson St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031913",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 Greenwich Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921225947",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94116",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWAWI",
        "first_name": "CAMILLE",
        "middle_name": "HANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030849",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.