Active NPI
Camille Stephenson, MD
- Psychiatry Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1730376237
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101146 | Medicaid | OH | |
| 4304111 | Other | OH | MEDICARE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1730376237 | CA | MD | Psychiatry Physician |
Practice roles
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1467584805
-
- Clinical Child & Adolescent Psychologist
- Salinas, CA
- NPI 1073645586
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1427105279
-
- Surgery Physician
- San Francisco, CA
- NPI 1346329380
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Methadone Clinic
- Harrisburg, PA
- NPI 1245760743
-
- Psychologist
- Harrisburg, PA
- NPI 1881829976
-
- Psychiatric Hospital
- Cincinnati, OH
- NPI 1023082716
-
- Psychiatric Hospital
- Toledo, OH
- NPI 1083688097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.