SUSANA CAMACHO
NPI 1043837479
Nurse Practitioner - Family in Modesto, CA

Active since July 01, 2020
3320 TULLY RD, MODESTO, CA 95350(209) 550-5200 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2022, Feb 23, 2022, Jul 1, 2020 (3 updates tracked since 2020).

About Susana Camacho NPPES

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

SUSANA CAMACHO (NPI 1043837479) is an individual family provider in Modesto, California, licensed in California (95014376) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1043837479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA CAMACHO
Location Address3320 TULLY RDModesto, CA 95350-0800
Mailing Address3349 G St Ste AMerced, CA 95340-0978 · (209) 600-4422
Sole ProprietorNo
Enumeration DateJuly 1, 2020
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1043837479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95014376
3320 TULLY RD, Modesto, CA 95350

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3320 TULLY RD
MODESTO, CA 95350
Hospitalist
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Physician Assistant
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350

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 Susana Camacho's NPI number?

The NPI number for Susana Camacho is 1043837479. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Susana Camacho located?

Susana Camacho practices at 3320 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 550-5200.

What is Susana Camacho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susana Camacho was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.