MIGUEL DOMINGUEZ CAMACHO (NPI# 1093746364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093746364 |
| Entity Type | Individual |
| Full Name | MIGUEL DOMINGUEZ CAMACHO |
| Credential | M.D. |
| Practice Address |
4581 10th St Suite C Guadalupe CA 93434-1454 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8053435577 |
| Practice Fax Number | 8053435578 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A53541 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD GROUP PTAN # | CJ5474 | 01 |
| CA | MEDICARE RAILROAD GROUP MEMBER PTAN# | P00725474 | 01 |
| CA | FAMILY PACK | HAP70986F | 01 |
| CA | 00A535410 | 05 | |
| CA | FHC70986F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215061395 | Miguel A Camacho | Nutritionist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2007-03-14 |
| Street Address |
4581 10TH ST SUITE C |
| City | GUADALUPE |
| State | CA |
| Zip Code | 93434-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912361064 | Kimberly Ferrer | Nurse Practitioner | 4581 10th St, Suite C, Guadalupe, CA 93434-1454 | 2016-04-05 |
| 1821153248 | Alexander Irvine | Pharmacy | 4581 10th St, Ste A, Guadalupe, CA 93434-1454 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881858 | Marie-anne Larsen | Skilled Nursing Facility | 5078 Pacific Dunes Cir, Guadalupe, CA 93434 | 2017-03-02 |
| 1619228293 | Veronica Velasquez-rodarte | Counselor | 4484 Fourth St., Guadalupe, CA 93434 | 2012-09-24 |
| 1770895773 | Patricia Lopez Barriga | Social Worker | 4681 11th Street, Guadalupe, CA 93434 | 2010-07-07 |
| 1831245786 | Teresann Nickle | Nurse Practitioner | 4723 W. Main St., Ste H, Guadalupe, CA 93434 | 2007-01-25 |
| 1407393630 | Family Service Agency of Santa Barbara County | Case Management | 4460 10th St, Guadalupe, CA 93434 | 2017-01-25 |
| 1932570447 | Star Pharmacy Rx Inc | Pharmacy | 830 Guadalupe St, Guadalupe, CA 93434-1316 | 2015-10-09 |
| 1265979322 | Duaa Hassan | Pharmacist | 830 Guadalupe St, Guadalupe, CA 93434-1316 | 2017-01-27 |
| 1730352592 | Elizabeth Vega Martinez | Case Manager/Care Coordinator | 928 Guadalupe St, 928 Guadalupe St, Guadalupe, CA 93434-1318 | 2008-04-11 |
| 1225691397 | Laurie Jean Brummet | Registered Nurse | 1050 Peralta St, Guadalupe, CA 93434-1418 | 2019-04-15 |
| 1124203047 | Social Advocates for Youth - Santa Maria, Inc. | Marriage & Family Therapist | 4460 10th St, Guadalupe, CA 93434-1420 | 2008-01-09 |
| Find all providers in zip 93434 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215980107 | Daniel G. Aguila | Family Medicine | 5825 E Calle Guadalupe, Guadalupe, AZ 85283-2664 | 2006-05-19 |
| 1255743548 | Charles Edward Armstrong | Family Medicine | 5825 E Calle Guadalupe, Guadalupe, AZ 85283-2664 | 2014-05-21 |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.