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NPI Code Detail

MEDICARE: CAMARENA HEALTH

MEDICARE: CAMARENA HEALTH
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
11041C0700XClinical Social Worker
21223G0001XGeneral Practice Dentistry
3126800000XDental Assistant
4163WD0400XDiabetes Educator Registered Nurse
5207Q00000XFamily Medicine Physician
6207R00000XInternal Medicine Physician
7208000000XPediatrics Physician
8363A00000XPhysician Assistant
9363LF0000XFamily Nurse Practitioner
10363LW0102XWomen's Health Nurse Practitioner
11261QF0400XFederally Qualified Health Center (FQHC)040000045CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1EAP70046FOTHERCAMEDICAL
2BCP70046FOTHERCAMEDICAL
3FHC70046FOTHERCAMEDICAL
4HAP70046FOTHERCAMEDICAL

General Provider Information

NPI Number : 1891778114
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMARENA HEALTH
Provider Business Mailing Address
First Line : PO BOX 299
Second Line :
City : MADERA
State : CA
Zip : 93639-0299
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5625
Provider Business Practice Location Address
First Line : 344 E 6TH STREET
Second Line :
City : MADERA
State : CA
Zip : 93638-3631
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5625
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. PAULO A SOARES
Credential :
Telephone Number : 559-664-4000
Provider Enumeration Date : 11/21/2005
Last Update Date : 03/29/2012

Similar Medicare Providers

1023759883 — MADHURI SHUKLA APRN
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax: 559-675-5224
1366425357 — DR. KENNETH BERNSTEIN M.D.
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax: 559-675-5224
1811970783 — MS. TERRI DICKEY FNP
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax: 559-675-5224
1528045838 — MS. MARTHA DURAN PA-C
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax: 559-675-5608
1770561516 — MS. ANGELA LURLAY PA-C/NP
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax:
1841278553 — MR. ROBERT HARRIS PA-C
Practice Location Address:
344 E 6TH ST
MADERA, CA
93638-3631
Practice Phone: 559-664-4000
Practice Fax:

Directions to “CAMARENA HEALTH ” Practice Location

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