Active NPI
Camille Velasco Santos, M.D.
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A97188
- Practice address
- 16918 Dove Canyon Rd
Suite #100
San Diego, CA 92127-3501 - Phone
- (858) 924-1900
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A97188 | CA | Primary |
Addresses
Primary practice location
16918 Dove Canyon Rd
Suite #100
San Diego, CA 92127-3501
Mailing address
16918 Dove Canyon Rd
Suite #100
San Diego, CA 92127-3501
Phone (858) 924-1900
Other names 1
- Maria Camille Velasco Santos
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9878 Carmel Mountain Rd
Suite B
San Diego, CA 92129-2893
Phone (858) 312-1440
Hospital & facility affiliations
- Archer Health Inc
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97188 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Partners Urgent Care-Rancho | Past | Accepting new patients |
Locations
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704
Interoperability endpoints
- camille.santos.p1@direct.arch.nextgenshare.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Family Medicine
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1184920480
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carlsbad, CA
- NPI 1053741017
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1699971184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16918 DOVE CANYON RD",
"address_2": "SUITE #100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273501",
"telephone_number": "858-924-1900",
"fax_number": "858-924-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16918 DOVE CANYON RD",
"address_2": "SUITE #100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273501",
"telephone_number": "858-924-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "CAMILLE",
"middle_name": "VELASCO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A97188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA CAMILLE",
"last_name": "SANTOS",
"middle_name": "VELASCO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.