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CAMILLE RENEE RICHARDSON
NPI 1336758705
Physician Assistant in Pomona, CA

Active since July 30, 2020PECOS Enrolled
94.62/100
CMS Quality Rating
309 E 2ND ST, POMONA, CA 91766(909) 623-6116 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Jan 4, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Camille Renee Richardson NPPES

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

CAMILLE RENEE RICHARDSON (NPI 1336758705) is an individual physician assistant in Pomona, California, licensed in California (PA58675) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336758705
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAMILLE RENEE RICHARDSON
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address306 N Basilio AveSan Dimas, CA 91773-2707
Phone(909) 623-6116
Sole ProprietorYes
Enumeration DateJuly 30, 2020
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1336758705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA58675
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
309 E 2ND ST, Pomona, CA 91766
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Renee Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

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 Richardson's NPI number?

The NPI number for Camille Richardson is 1336758705. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Camille Richardson located?

Camille Richardson practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 623-6116.

What is Camille Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Camille Richardson enrolled in Medicare?

Yes. Camille Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camille Richardson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.