Active NPI
Anna Maria Ocampo De Claro, M.D.
- Developmental - Behavioral Pediatrics Physician
- Boston, MA
National Provider Identifier
1821288903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 231265
- Practice address
- Children'S Hospital
300 Longwood Avenue, Fegan 10
Boston, MA 02115 - Phone
- (617) 355-7025
- Fax
- (617) 730-0252
- NPI assigned
- Jul 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | A100396 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 231265 | MA | Primary |
Addresses
Primary practice location
Children'S Hospital
300 Longwood Avenue, Fegan 10
Boston, MA 02115
Mailing address
26 Royal St
Apartment # 3
Allston, MA 02134-1550
Phone (973) 342-3093
Other names 1
- Anna Maria Sandico Ocampo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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 |
|---|---|---|---|
| 231265 | MA | MD | Psychiatric/Mental Health Registered Nurse |
| A100396 | CA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1689606196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1821288903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 ROYAL ST",
"address_2": "APARTMENT # 3",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341550",
"telephone_number": "973-342-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S HOSPITAL",
"address_2": "300 LONGWOOD AVENUE, FEGAN 10",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-7025",
"fax_number": "617-730-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CLARO",
"first_name": "ANNA MARIA",
"middle_name": "OCAMPO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "A100396",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "231265",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNA MARIA",
"last_name": "OCAMPO",
"middle_name": "SANDICO",
"credential": "M.D., M.P.H.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
- Celina Francesca De Borja, MD
- Ludovic Francis Donal De Carle
- Ines Maria De Carvalho Lains, MD
- Alessandra Lemos De Carvalho, M.D.
- Filipe La Fuente De Carvalho, M.D., PH.D.
- Paulo De Coelho Castro, MD
- Marina De Cos Gomez, MD, MS
- Mariana De Coste Calla, MSW, LICSW
- Alecsander Nicolas De Fabrique, DDS
- Sarah De Ferranti, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.