Active NPI
Senica Marie E Camello
- Occupational Therapist
- San Bernardino, CA
National Provider Identifier
1831752757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT24991
- Practice address
- 275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238 - Phone
- (909) 755-0840
- Fax
- (909) 763-3216
- NPI assigned
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT24991 | CA | Primary |
Addresses
Primary practice location
275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT24991 | CA | MD | Occupational Therapist |
| 24991 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1831752757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 103",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083238",
"telephone_number": "909-755-0840",
"fax_number": "909-763-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMELLO",
"first_name": "SENICA MARIE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT24991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.