Individual provider Active NPI

Benjamin Oclarino Camacho, M.D.

  • Cardiovascular Disease Physician
  • National City, CA
National Provider Identifier
1699759936
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A052660 Issued in CA
Practice address
1615 Sweetwater Rd
National City, CA 91950
Phone
(619) 474-2233
Fax
(619) 474-2211
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A052660 CA Primary
Specialist 174400000X A052660 CA

Addresses

Primary practice location

1615 Sweetwater Rd
National City, CA 91950

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A526600MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000375 CA Practitioner - Internal Medicine 0446238851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Healthwise Home Health Care Inc Home health agency, National City, CA, CCN 059418
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score
28.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
93.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52660CAMDGeneral Practice Dentistry
A052660CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin O Camacho M D F a C P a Medical Corporation Cardiovascular Disease CurrentSince Jun 1, 2000 Accepting new patients
Cardia Sense AMC Cardiovascular Disease PastSince Mar 1, 2003 Accepting new patients

Locations

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

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

10737 Camino Ruiz
Ste 140
San Diego, CA 92126
Phone (858) 577-0580

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1699759936",
    "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": "91950",
            "telephone_number": "619-474-2233",
            "fax_number": "619-474-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "BENJAMIN",
        "middle_name": "OCLARINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A052660",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A052660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A526600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.