Ralph Camacho, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G27622 Issued in CA

Practice address

5565 West Las Positas Blvd
Suite 260
Pleasanton, CA 94558-5807

Phone

(925) 460-0700

Fax

(925) 734-0517

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Ralph Camacho Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tri-Valley Ecg Medical Group Inc

  • Cardiovascular Disease Physician
  • Pleasanton, CA
  • NPI 1962559310

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1871640235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 WEST LAS POSITAS BLVD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945585807",
            "telephone_number": "925-460-0700",
            "fax_number": "925-734-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 WEST LAS POSITAS BLVD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945585807",
            "telephone_number": "925-460-0700",
            "fax_number": "925-734-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G27622",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G27622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7591118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "CAMACHO",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• California Skin Lightening, Inc
• California Surgical Associates
• California Urological Associates, Inc
• Mikayla Calilung
• Rita Calzadilla, MSW
• Timothy T. Cambridge, D.C.
• Heather Cameron, PPS
• Justine K Campbell
• Leticia Camunez-Hanby, M.A., MFT
• Jennifer Candelaria, MD

• Gastroenterology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.