CAMILLE DICKERSON (NPI# 1447887880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447887880 |
| Entity Type | Individual |
| Full Name | CAMILLE DICKERSON |
| Practice Address |
2500 California St Ste A Mountain View CA 94040-1359 |
| Mailing Address |
1691 The Alameda San Jose CA 95126-2203 |
| Practice Telephone | 4087953600 |
| Mailing Telephone | 4082877526 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57845 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 CALIFORNIA ST STE A |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299899 | Planned Parenthood Mar Monte, Inc. | Clinic/Center | 2500 California St Ste A, Mountain View, CA 94040-1359 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159863 | Alyssa Weaver | Physician Assistant | 1421 Tyler Park Way, Mountain View, CA 94040-3714 | 2020-09-20 |
| 1831672864 | Brittany Goodman | Physician Assistant | 1932 Silverwood Ave, Mountain View, CA 94043-4405 | 2018-09-14 |
| 1497283717 | Kirstie Loraine Macmillen | Physician Assistant | 470 Del Medio Ave Apt 8, Mountain View, CA 94040-1122 | 2017-05-31 |
| 1194193110 | Claire Reiton | Physician Assistant | 701 E El Camino Real Ste 800, Mountain View, CA 94040-2833 | 2015-09-08 |
| 1679956072 | Amishi Khandelwal | Physician Assistant | 1240 Dale Ave, Apt 20, Mountain View, CA 94040-3368 | 2015-07-02 |
| 1518383447 | Lindsay Jones | Physician Assistant | 565 San Antonio Rd, Mountain View, CA 94040-1341 | 2014-03-17 |
| 1598021537 | Yesim Kanlioglu | Physician Assistant | 525 South Dr Ste 107, Mountain View, CA 94040-4211 | 2012-04-04 |
| 1730461054 | William Michael Dizon | Physician Assistant | 701 El Camino Real, Mountain View, CA 94040-2833 | 2011-09-13 |
| 1710513064 | Kelsey Chandler Ayers | Physician Assistant | 2500 California St, Mountain View, CA 94040-1397 | 2020-03-18 |
| 1790283893 | Joshua J Fernandez | Physician Assistant | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2018-01-24 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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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.