Active NPI
Michael E Cameron, PHD
- Psychologist
- Los Angeles, CA
National Provider Identifier
1750301909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13418
- Practice address
- 1081 Westwood Blvd Ste 226
Los Angeles, CA 90024-2925 - Phone
- (310) 208-3909
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY13418 | CA | Primary |
Addresses
Primary practice location
1081 Westwood Blvd Ste 226
Los Angeles, CA 90024-2925
Mailing address
1081 Westwood Blvd Ste 226
Los Angeles, CA 90024-2925
Phone (310) 208-3909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY134180 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13418 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1750301909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 WESTWOOD BLVD STE 226",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242925",
"telephone_number": "310-208-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 WESTWOOD BLVD STE 226",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242925",
"telephone_number": "310-208-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY134180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.