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CAMILLE DICKERSON
NPI 1447887880
Physician Assistant in Mountain View, CA

Active since March 25, 2020PECOS Enrolled
2500 CALIFORNIA ST STE A, MOUNTAIN VIEW, CA 94040(408) 795-3600 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Camille Dickerson NPPES

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

CAMILLE DICKERSON (NPI 1447887880) is an individual physician assistant in Mountain View, California, licensed in California (PA57845) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447887880
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAMILLE DICKERSON
Location Address2500 CALIFORNIA ST STE AMountain View, CA 94040-1359
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526
Phone(408) 795-3600
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1447887880 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 · PA57845
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.
2500 CALIFORNIA ST STE A, Mountain View, CA 94040
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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 Dickerson 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 3

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

MEHERET ZERGA SEMMA PA
Physician Assistant
2500 CALIFORNIA ST STE A
MOUNTAIN VIEW, CA 94040
Santa Clara County (696) 272-4094
PLANNED PARENTHOOD MAR MONTE, INC.
Clinic/Center (Community Health)
2500 CALIFORNIA ST STE A
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 795-3600
VANESSA CHRISTINA MALDONADO FNP
Nurse Practitioner (Family)
2500 CALIFORNIA ST STE A
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 795-3600

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 Dickerson's NPI number?

The NPI number for Camille Dickerson is 1447887880. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Camille Dickerson located?

Camille Dickerson practices at 2500 California St Ste A, Mountain View, CA 94040. The listed phone number is (408) 795-3600.

What is Camille Dickerson's specialty?

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

Is Camille Dickerson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Camille Dickerson was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.