Rafael Camarena, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

411168 Issued in CA

Practice address

2505 Merced St
Fresno, CA 93721-1811

Phone

(559) 445-0391

Fax

(559) 432-4306

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: rafael.camarena.1@17661.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2017.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1992786792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MERCED ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211811",
            "telephone_number": "559-445-0391",
            "fax_number": "559-432-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MERCED ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211811",
            "telephone_number": "559-445-0391",
            "fax_number": "559-432-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "411168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Yolanda Camacho
• Camarena Health
• Camarena Health
• Guadalupe Camarena
• Jackie Camarena, MFT TRAINEE
• Nayle Camarillo Gutierrez
• Jessica Camarillo
• Jose Camarillo
• Liliana Camarillo
• Esperanza Camba

• All providers in Fresno, CA
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.