Individual provider Active NPI

Paloma Camacho, FNP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1952837759
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005997 Issued in CA
Practice address
1617 E 1St St
Suite a
Santa Ana, CA 92701-6385
Phone
(714) 246-0000
Fax
(714) 541-3525
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 95005997 CA Primary

Addresses

Primary practice location

1617 E 1St St
Suite a
Santa Ana, CA 92701-6385

Mailing address

40974 Belleray Ave
Murrieta, CA 92562-6351
Phone (760) 540-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190301001430 CA Practitioner - Nurse Practitioner 0345589743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamid Zadeh MD IncGroup PAC ID 8921289232, 2 clinicians

Practice addresses (Care Compare)

2435 Marshall Ave
Imperial, CA 92251-9599
Phone (760) 550-6327

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005997CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Zadeh MD Inc CurrentSince Jul 26, 2018 Accepting new patients

Locations

751 W Legion Rd
Ste 203
Brawley, CA 92227
Phone (760) 355-2922

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2435 Marshall Ave
Imperial, CA 92251
Phone (760) 550-6327

Interoperability endpoints

  • Direct secure messaging: paloma.camacho@hzmi.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1952837759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40974 BELLERAY AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626351",
            "telephone_number": "760-540-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-246-0000",
            "fax_number": "714-541-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "PALOMA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.