Individual provider Active NPI

Christian Camarillo

  • Day Training/Habilitation Specialist
  • Culver City, CA
National Provider Identifier
1871314872
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
Y8193859 Issued in CA
Practice address
10559 Jefferson Blvd Ste Ade
Culver City, CA 90232-3526
Phone
(310) 785-2121
NPI assigned
Oct 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Day Training/Habilitation Specialist 373H00000X Y8193859 CA Primary

Addresses

Primary practice location

10559 Jefferson Blvd Ste Ade
Culver City, CA 90232-3526

Mailing address

10549 Jefferson Blvd
Culver City, CA 90232-3513

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Y8193859CAMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alcott Center for Mental Health Services CurrentSince Oct 27, 2024 Accepting new patients

Locations

10559 Jefferson Blvd
Ste Ade
Culver City, CA 90232
Phone (213) 432-9244

10549 Jefferson Blvd
Culver City, CA 90232
Phone 3107852121 ext. 202

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1871314872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 JEFFERSON BLVD STE ADE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323526",
            "telephone_number": "310-785-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "Y8193859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.