CAMINO HEALTH CENTER
NPI 1366560393
Clinic/Center - Community Health in San Juan Capistrano, CA

Active since March 27, 2007
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675(949) 240-2030(949) 429-7627 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Camino Health Center NPPES

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

CAMINO HEALTH CENTER (NPI 1366560393) is a healthcare organization registered as a community health in San Juan Capistrano, California and active in the NPI registry since March 2007. The organization lists Jeremy Elkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366560393
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCAMINO HEALTH CENTER
Location Address30300 CAMINO CAPISTRANOSan Juan Capistrano, CA 92675-1304
Mailing Address31351 Rancho Viejo Rd Ste 201San Juan Capistrano, CA 92675-1858 · (949) 240-2030 · Fax (949) 429-7627
Fax(949) 429-7627
Organization SubpartNo
Authorized OfficialJeremy ElkinsCeo · (949) 240-2030
Enumeration DateMarch 27, 2007
Last NPPES UpdateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1366560393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CA · 060000060
30300 CAMINO CAPISTRANO, San Juan Capistrano, CA 92675

Other Names 1

Doing Business AsCamino Health Center

Other Identifiers 6

OtherCMM70345HCA · Medical
OtherW14149CA · Medicare Part B
OtherCMM70345HCA · Caloptima
OtherG91459-01CA · Dentical
OtherCMM70345HCA · Chdp
OtherEAP70345HCA · Eapc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camino Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120914000236Part A · Federally Qualified Health Center (FQHC)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Camino Health Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1417968496
30300 CAMINO CAPISTRANO
San Juan Capistrano, CA 92675
(949) 240-2272
✔ PECOSSame address
Nurse Practitioner
NPI 1184960684
30300 CAMINO CAPISTRANO
San Juan Capistrano, CA 92675
(949) 240-2030
✔ PECOSSame address
Nurse Practitioner
NPI 1891830998
30300 CAMINO CAPISTRANO
San Juan Capistrano, CA 92675
(949) 240-2030
✔ PECOSSame address
Internal Medicine
NPI 1861537656
30300 CAMINO CAPISTRANO
San Juan Capistrano, CA 92675
(949) 240-2030
✔ PECOSSame address
Internal Medicine
NPI 1770616716
30300 CAMINO CAPISTRANO
San Juan Capistrano, CA 92675
(949) 240-2030
✔ PECOSSame address
Nurse Practitioner
NPI 1124486568
8970 WARNER AVE
Fountain Valley, CA 92708
(714) 477-8400
✔ PECOS✔ Accepts Medicare22 mi

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 Camino Health Center's NPI number?

The NPI number for Camino Health Center is 1366560393. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Camino Health Center located?

Camino Health Center is located at 30300 Camino Capistrano, San Juan Capistrano, CA 92675. The listed phone number is (949) 240-2030.

What is Camino Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Camino Health Center enrolled in Medicare?

Yes. Camino Health Center is registered in the Medicare PECOS enrollment system.

When is Camino Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Camino Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Camino Health Center. 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. The largest specialties are Nurse Practitioner (3), Internal Medicine (2) and Family Practice (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Camino Health Center was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.