Individual provider Active NPI

Victor Roberto Camones, D.D.S

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1992884431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43325 Issued in CA
Practice address
15027 Mulberry Dr
Whittier, CA 90604-1528
Phone
(562) 906-8868
Fax
(562) 906-8878
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43325 CA Primary

Addresses

Primary practice location

15027 Mulberry Dr
Whittier, CA 90604-1528

Mailing address

16527 Murphy Rd
La Mirada, CA 90638-6219
Phone (562) 943-3992

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910002082 CA Practitioner - Oral Surgery 4789801721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43325CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victor R. Camones DDS Inc General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992884431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16527 MURPHY RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386219",
            "telephone_number": "562-943-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528",
            "telephone_number": "562-906-8868",
            "fax_number": "562-906-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMONES",
        "first_name": "VICTOR",
        "middle_name": "ROBERTO",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.