DR. MARIAM BONYADI CAMACHO MD, PHD - NPI 1457937898 - Internal Medicine in La Jolla, CA

Q: 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.

Q: What is Mariam Camacho's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Camacho was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1457937898

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARIAM BONYADI CAMACHOCredential: MD, PHD

Location Address8950 VILLA LA JOLLA DR STE C129La Jolla, CA 92037-1707

Mailing Address8950 Villa La Jolla Dr Ste C129La Jolla, CA 92037-1707 · (858) 450-5900

Phone(858) 450-5900

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1457937898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A185860

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8950 VILLA LA JOLLA DR STE C129, La Jolla, CA 92037

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Secondary Practice Location 1

Location 14094 4th AveSan Diego, CA 92103-2143 · Phone (619) 515-2545

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9537606777

PECOS Enrollment IDI20240805003897

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.

25 services23 patients

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.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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 7

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

MS. ELENA M DEMBO-SMEATON M.D.

Family Medicine