Individual provider Active NPI

Camille Stephenson, MD

  • Psychiatry Physician
  • Vacaville, CA
National Provider Identifier
1730376237
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1730376237 Issued in CA
Practice address
1600 California Drive
Vacaville, CA 95696
Phone
(707) 448-6841
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1730376237 CA Primary

Addresses

Primary practice location

1600 California Drive
Vacaville, CA 95696

Mailing address

1600 California Drive
Vacaville, CA 95696
Phone (707) 448-6841

Other identifiers 2

IdentifierTypeStateIssuer
3101146MedicaidOH
4304111OtherOHMEDICARE ID

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
I20191111001552 CA Practitioner - Psychiatry 1557555745 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1730376237CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 7, 2022 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 1, 2017 Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Mar 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Mar 1, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Psychiatry CurrentSince Mar 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 7, 2022 Accepting new patients
University of California San Francisco CurrentSince Dec 7, 2022 Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Mar 1, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 1, 2017 Accepting new patients
County of Monterey Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
University of California San Francisco CurrentSince Dec 7, 2022 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Dec 7, 2022 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1441 Constitution Blvd
Ste 202
Salinas, CA 93906
Phone (831) 796-1700

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

930 S Detroit Ave
Toledo, OH 43614
Phone (419) 381-1881

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1730376237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95696",
            "telephone_number": "707-448-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95696",
            "telephone_number": "707-448-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "1730376237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101146",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4304111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.