Active NPI
Camilla F Flemate, PA-C
- Physician Assistant
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 16940
- Practice address
- 15055 Los Gatos Blvd Ste 100
Los Gatos, CA 95032-2056 - Phone
- (408) 356-1000
- Fax
- (408) 356-1125
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16940 | CA | |
| Physician Assistant | 363A00000X | 16940 | CA | Primary |
Addresses
Primary practice location
15055 Los Gatos Blvd Ste 100
Los Gatos, CA 95032-2056
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
15055 Los Gatos Blvd Ste 240
Los Gatos, CA 95032-2056
Phone (408) 356-1000
Other practice location 2
15055 Los Gatos Blvd Ste 310
Los Gatos, CA 95032-2056
Phone (408) 356-1119
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15055 Los Gatos Blvd
Los Gatos, CA 95032-2056
Phone (408) 356-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16940 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology - Pacific, P.C. | Current | Accepting new patients |
Locations
15055 Los Gatos Blvd
Ste 240
Los Gatos, CA 95032
Phone (408) 356-1000
15055 Los Gatos Blvd
Ste 310
Los Gatos, CA 95032
Phone (408) 358-7900
15055 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 333-9580
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Organizations & group practices 2
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.
-
- Dermatology Physician
- Thousand Oaks, CA
- NPI 1356535009
-
- Dermatology Physician
- Los Gatos, CA
- NPI 1861121741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1962638569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15055 LOS GATOS BLVD STE 100",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322056",
"telephone_number": "408-356-1000",
"fax_number": "408-356-1125"
}
],
"practiceLocations": [
{
"address_1": "15055 Los Gatos Blvd Ste 240",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950322056",
"country_code": "US",
"telephone_number": "408-356-1000",
"fax_number": "408-356-1125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15055 Los Gatos Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950322056",
"country_code": "US",
"telephone_number": "408-356-1119",
"fax_number": "408-356-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMATE",
"first_name": "CAMILLA",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA16940",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "16940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.