CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC
NPI 1013488360
Clinic/Center - Rehabilitation in Grandview, WA

Q: What is Camacho Chiropractic And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Active since December 16, 2018

403 N EUCLID ST, GRANDVIEW, WA 98930(509) 402-9020(509) 402-9036 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2024, Mar 7, 2019, Feb 15, 2019 and 1 more (4 updates tracked since 2018).

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About Camacho Chiropractic And Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC (NPI 1013488360) is a healthcare organization registered as a rehabilitation in Grandview, Washington and active in the NPI registry since December 2018. The organization lists Angela Marie Camacho, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013488360

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameCAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC

Location Address403 N EUCLID STGrandview, WA 98930-9407

Mailing Address403 N Euclid StGrandview, WA 98930-9407 · (509) 402-9020 · Fax (509) 402-9036

Phone(509) 402-9020

Fax(509) 402-9036

Organization SubpartNo

Authorized OfficialAngela Marie CamachoOffice Manager · (509) 402-9020

Enumeration DateDecember 16, 2018

Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1013488360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedChiropractor · Independent Medical ExaminerTaxonomy 111NI0013X

Also ListedMassage TherapistTaxonomy 225700000X

403 N EUCLID ST, Grandview, WA 98930

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camacho Chiropractic And Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Camacho Chiropractic And Sports Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Juan Camacho, DC

Chiropractic

NPI 1649776949

403 N EUCLID ST
Grandview, WA 98930

(509) 402-9020

✔ Accepts MedicareSame address

Ivan Soto-Martinez, DC

Chiropractic

NPI 1962217430

403 N EUCLID ST
Grandview, WA 98930

(509) 402-9020

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camacho Chiropractic And Sports Medicine LLC's NPI number?

The NPI number for Camacho Chiropractic And Sports Medicine LLC is 1013488360. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Camacho Chiropractic And Sports Medicine LLC located?

Camacho Chiropractic And Sports Medicine LLC is located at 403 N Euclid St, Grandview, WA 98930. The listed phone number is (509) 402-9020.

What is Camacho Chiropractic And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Camacho Chiropractic And Sports Medicine LLC enrolled in Medicare?

Yes. Camacho Chiropractic And Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Camacho Chiropractic And Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Camacho Chiropractic And Sports Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Camacho Chiropractic And Sports Medicine LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Camacho Chiropractic And Sports Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camacho Chiropractic And Sports Medicine LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.