NPIMap

Individual provider Active NPI

Marco Antonio Camarena, CPO

  • Prosthetist
  • Apple Valley, CA
National Provider Identifier
1902511249
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO03433 Issued in NU
Practice address
16185 Kamana Rd
Apple Valley, CA 92307-1377
Phone
(760) 242-1311
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CPO03433 NU Primary

Addresses

Primary practice location

16185 Kamana Rd
Apple Valley, CA 92307-1377

Mailing address

16185 Kamana Rd
Apple Valley, CA 92307-1377

Other practice location 1

1177 Idaho St Ste 101
Redlands, CA 92374-4586
Phone (909) 792-1900

Other practice location 2

3602 Inland Empire Blvd Ste C130
Ontario, CA 91764-4942
Phone (909) 484-5700

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hanger Prosthetics & Orthotics West Inc. Prosthetist PastSince May 17, 2020 Accepting new patients
Hanger Prosthetics & Orthotics West Inc Prosthetist PastSince Jan 22, 2023 Accepting new patients
Hanger Prosthetics & Orthotics West, Inc. Prosthetist Past Accepting new patients
Hanger Prosthetics & Orthotics West Inc. Prosthetist PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1902511249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16185 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16185 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-242-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 Idaho St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744586",
            "country_code": "US",
            "telephone_number": "909-792-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3602 Inland Empire Blvd Ste C130",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917644942",
            "country_code": "US",
            "telephone_number": "909-484-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": "CPO03433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.