1093249229 NPI number — DR. AARON ANTHONY CAMINOS M.D.

Table of content: DR. AARON ANTHONY CAMINOS M.D. (NPI 1093249229)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093249229 NPI number — DR. AARON ANTHONY CAMINOS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMINOS
Provider First Name:
AARON
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093249229
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4445 MAGNOLIA AVE
Provider Second Line Business Mailing Address:
RIVERSIDE COMMUNITY HOSPITAL, GME OFFICE
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92501-4135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-788-3000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1971 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
BORREGO HEALTH - EASTSIDE HEALTH CENTER BUILDING B
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-384-6200
Provider Business Practice Location Address Fax Number:
858-634-6959
Provider Enumeration Date:
04/14/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: A162839 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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