Mikaila Nicole Cameron, L.AC., OTR/L

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14996 Issued in CA

Practice address

10925 Sabre Hill Dr Unit 380
San Diego, CA 92128-4185

Phone

(858) 663-7614

NPI assigned

Oct 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Michelle Jeanine Barrett Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351382400000",
    "number": "1750635819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 SABRE HILL DR UNIT 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284185",
            "telephone_number": "858-663-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 SABRE HILL DR UNIT 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284185",
            "telephone_number": "858-663-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MIKAILA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "L.AC., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14996",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "7370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BARRETT",
            "middle_name": "JEANINE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Cameron
• Grace Cameron, RBT
• Ian Reed Cameron, PT, DPT
• Jenna Cameron, M.S. OTR/L
• Melissa Anne Cameron, M.D.
• Renata Marie Cameron, M.A.
• Sheilah Cameron, M.S.
• Susan R Cameron, D.C.
• Angie Camez
• Myriam Camhi, P.T.

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.