1. Home
  2. Directory
  3. California
  4. Santa Ana
  5. Family Medicine
  6. NPI Profile

CAMILLE TANQUILUT M.D.
NPI 1215461710
Family Medicine in Santa Ana, CA

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
1900 E 4TH ST, SANTA ANA, CA 92705(714) 967-4766 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 20, 2021, Aug 23, 2021, Jun 10, 2020 and 1 more (4 updates tracked since 2017).

About Camille Tanquilut M.d. NPPES

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

CAMILLE TANQUILUT M.D. (NPI 1215461710) is an individual family medicine provider in Santa Ana, California, licensed in California (A158481) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2017).

NPPES Registry Identity

NPI1215461710
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAMILLE TANQUILUTCredential: M.D.
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-5356 · Fax (877) 738-4262
Phone(714) 967-4766
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateDecember 20, 20214 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1215461710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A158481
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 E 4TH ST, Santa Ana, CA 92705
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Tanquilut M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355681610
PECOS Enrollment IDI20200518001243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Camille Tanquilut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
341 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MR. MICHAEL JAMES PANOWICZ
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ALEXANDER WONG DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (833) 574-2273
DR. RHETT MARK BARTOLOME D.O.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4675
DR. CHRISTOPHER THOMAS DONNELLY M.D.
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4700
LILY LEE D.O.
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 674-4766
CRYSTAL CHEUNG
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ANDREW TAEHWAN SHIN DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4548
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (866) 353-5060

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 Camille Tanquilut's NPI number?

The NPI number for Camille Tanquilut is 1215461710. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Camille Tanquilut located?

Camille Tanquilut practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (714) 967-4766.

What is Camille Tanquilut's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Camille Tanquilut enrolled in Medicare?

Yes. Camille Tanquilut is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Camille Tanquilut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Tanquilut reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Camille Tanquilut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Camille Tanquilut was last updated on December 20, 2021. 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.