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DR. ENRIQUE CAMACHO JR. D.O.
NPI 1235570037
General Practice in San Luis Obispo, CA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
862 AEROVISTA PL STE 100, SAN LUIS OBISPO, CA 93401(805) 549-8023(805) 549-8252 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Enrique Camacho Jr. D.o. NPPES

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

DR. ENRIQUE CAMACHO JR. D.O. (NPI 1235570037) is an individual general practice provider in San Luis Obispo, California, licensed in California (20A12825) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235570037
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ENRIQUE CAMACHO JR.Credential: D.O.
Location Address862 AEROVISTA PL STE 100San Luis Obispo, CA 93401-8758
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200
Phone(805) 549-8023
Fax(805) 549-8252
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 10, 2013
Last NPPES UpdateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1235570037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A12825
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
862 AEROVISTA PL STE 100, San Luis Obispo, CA 93401
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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

Dr. Enrique Camacho Jr. D.o. 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 ID7517342173
PECOS Enrollment IDI20250923002649
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 Enrique Camacho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
149 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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

Other Providers at the Same Location NPPES 7

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

DR. SHIRLEY LYNNE VAN MD
Dermatology
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
DR. FRANCES TAO MD, MPH
Family Medicine
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
RAGESH PANIKKATH MD
Internal Medicine (Clinical Cardiac Electrophysiology)
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
CASSIDY TED LEE DO, MPP
Family Medicine
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
THINN HLAING M.D.
Internal Medicine (Cardiovascular Disease)
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
ALI MOHAMED HUSSAIN MD
Family Medicine
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023
DAVID ABRAHAM BALTAZAR DO
Dermatology
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-8023

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 Enrique Camacho's NPI number?

The NPI number for Enrique Camacho is 1235570037. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Enrique Camacho located?

Enrique Camacho practices at 862 Aerovista Pl Ste 100, San Luis Obispo, CA 93401. The listed phone number is (805) 549-8023.

What is Enrique Camacho's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Enrique Camacho enrolled in Medicare?

Yes. Enrique Camacho 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 Enrique Camacho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Camacho reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, 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 Enrique Camacho'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 Enrique Camacho was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.