DR. MARIAM BONYADI CAMACHO MD, PHD
NPI 1457937898
Internal Medicine in La Jolla, CA
About Dr. Mariam Bonyadi Camacho Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIAM BONYADI CAMACHO MD, PHD (NPI 1457937898) is an individual internal medicine provider in La Jolla, California, licensed in California (A185860) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Mariam Bonyadi Camacho Md, Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mariam Camacho reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Mariam Camacho's NPI number?
The NPI number for Mariam Camacho is 1457937898. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Mariam Camacho located?
Mariam Camacho practices at 8950 Villa La Jolla Dr Ste C129, La Jolla, CA 92037. The listed phone number is (858) 450-5900.
What is Mariam Camacho's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mariam Camacho enrolled in Medicare?
Yes. Mariam 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 organizations bill Medicare for Mariam Camacho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Camacho reassigns Medicare benefits to 2 organizations: Daniel Michaels M D Inc (La Jolla, CA) and Family Health Centers Of San Diego, Inc (San Diego, CA). Each 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 Mariam 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 Mariam Camacho was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Mariam Bonyadi Camacho, MD, PHD · NPI 1457937898
Internal Medicine physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1457937898 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A185860 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8950 VILLA LA JOLLA DR STE C129, La Jolla, CA 92037-1707
- **Phone:** (858) 450-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Daniel Michaels M D Inc (NPI 1316244619, La Jolla, CA); Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2021
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457937898) · Data from the CMS NPPES public registry.