Individual provider Active NPI

Janoi Gonzalez Camejo, RN, NSN, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902364730
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001717 Issued in FL
Practice address
6502 N 35TH Ave
Phoenix, AZ 85017-1496
Phone
(602) 283-5732
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001717 FL Primary

Addresses

Primary practice location

6502 N 35TH Ave
Phoenix, AZ 85017-1496

Mailing address

1514 W Thomas Rd
Phoenix, AZ 85015-6101
Phone (602) 283-5732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610001857 AZ Practitioner - Nurse Practitioner 8820323207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5041 W Northern Ave
Suite B
Glendale, AZ 85301-1539
Phone (786) 916-0637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11001717FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guggiari Med PC Family CurrentSince Apr 23, 2022 Accepting new patients
American Family Medicine LLC CurrentSince Mar 1, 2020 Accepting new patients
First Choice Family Health Center, PLLC CurrentSince Aug 1, 2023 Accepting new patients
American Family Medicine LLC Family CurrentSince Mar 1, 2020 Accepting new patients
First Choice Family Health Center, PLLC Family CurrentSince Feb 25, 2024 Accepting new patients
Clinica Medica del Sol, LLC CurrentSince Apr 23, 2022 Accepting new patients

Locations

5041 W Northern Ave
Ste B
Glendale, AZ 85301
Phone (623) 536-6788

5501 N 19th Ave
Ste 218
Phoenix, AZ 85015
Phone (602) 242-1221

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

5251 W Campbell Ave
Ste 207
Phoenix, AZ 85031
Phone (623) 217-2810

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

9169 W Van Buren St
Tolleson, AZ 85353
Phone (602) 283-5732

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 6

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1902364730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156101",
            "telephone_number": "602-283-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171496",
            "telephone_number": "602-283-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CAMEJO",
        "first_name": "JANOI",
        "credential": "RN, NSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.