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NPI Code Detail

MEDICARE: CAMINO MEDICAL GROUP

MEDICARE: CAMINO MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3208000000XPediatrics Physician

General Provider Information

NPI Number : 1477505691
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMINO MEDICAL GROUP
Provider Business Mailing Address
First Line : 301 OLD SAN FRANCISCO RD
Second Line :
City : SUNNYVALE
State : CA
Zip : 94086-6386
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2734 EL CAMINO REAL
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-3007
Country : US
Telephone Number : 408-739-6000
Fax Number :
Authorized Official
Title or Position : CEO
Name : RICHARD SLAVIN
Credential :
Telephone Number : 408-739-6000
Provider Enumeration Date : 05/16/2006
Last Update Date : 09/11/2025

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Directions to “CAMINO MEDICAL GROUP ” Practice Location

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