Miguel Dominguez Camacho, MD | |
4581 10th St, Suite C, Guadalupe, CA 93434-1454 | |
(805) 343-5577 | |
(805) 343-5578 |
Full Name | Miguel Dominguez Camacho |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 4581 10th St, Guadalupe, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093746364 | NPI | - | NPPES |
HAP70986F | Other | CA | FAMILY PACK |
CJ5474 | Other | CA | MEDICARE RAILROAD GROUP PTAN # |
P00725474 | Other | CA | MEDICARE RAILROAD GROUP MEMBER PTAN# |
00A535410 | Medicaid | CA | |
FHC70986F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A53541 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dignity Health Home Health | Santa maria, CA | Home health agency |
Marian Regional Medical Center | Santa maria, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Centers Of The Central Coast Inc | 7416868120 | 55 |
Entity Name | Community Health Centers Of The Central Coast Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
---|---|
Miguel Dominguez Camacho, MD 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Miguel Dominguez Camacho, MD 4581 10th St, Suite C, Guadalupe, CA 93434-1454 Ph: (805) 343-5577 |
Dr. Christina Anne Pinto, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4723 W Main St Ste H, Guadalupe, CA 93434 Phone: 805-334-3557 Fax: 805-343-5578 | |
Archana Mallela, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4723 W Main St Ste H, Guadalupe, CA 93434 Phone: 805-343-5577 |