Individual provider Active NPI

Maria Ella Camacho Valji, PT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1740375062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23007 Issued in CA
Practice address
6070 Avenida Encinas
Carlsbad, CA 92011-1001
Phone
(760) 444-0102
Fax
(760) 688-3131
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23007 CA Primary

Addresses

Primary practice location

6070 Avenida Encinas
Carlsbad, CA 92011-1001

Mailing address

6070 Avenida Encinas
Carlsbad, CA 92011-1001
Phone (760) 444-0102

Other identifiers 1

IdentifierTypeStateIssuer
PT23007OtherCAPT LICENSE

Other names 1

  • Maria Ella Camacho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000548 CA Practitioner - Physical Therapist in Private Practice 0345248233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

17150 Via del Campo
Suite 200
San Diego, CA 92127-2137
Phone (858) 381-5084

3704 Ruffin Rd
San Diego, CA 92123-1812
Phone (619) 930-9750

380 S Melrose Dr
Suite 208
Vista, CA 92081-6652
Phone (760) 842-8824

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23007CAMDChiropractor
PT23007CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Aug 1, 2009 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

6070 Avenida Encinas
Carlsbad, CA 92011
Phone (760) 388-6475

6070 Avenida Encinas
#100
Carlsbad, CA 92011
Phone (760) 388-6475

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

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, 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740375062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 AVENIDA ENCINAS",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111001",
            "telephone_number": "760-444-0102",
            "fax_number": "760-688-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 AVENIDA ENCINAS",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111001",
            "telephone_number": "760-444-0102",
            "fax_number": "760-688-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO VALJI",
        "first_name": "MARIA",
        "middle_name": "ELLA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT23007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CAMACHO",
            "middle_name": "ELLA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.