DR. EMILLIE DE OCAMPO MD
NPI 1609858182
Pediatrics in Lodi, CA
About Dr. Emillie De Ocampo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EMILLIE DE OCAMPO MD (NPI 1609858182) is an individual pediatrics provider in Lodi, California, licensed in California (A73019) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Emillie De Ocampo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emillie De Ocampo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95242 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LODI, CA 95242
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 Emillie De Ocampo's NPI number?
The NPI number for Emillie De Ocampo is 1609858182. It was assigned to this individual provider in the NPPES registry on November 18, 2005.
Where is Emillie De Ocampo located?
Emillie De Ocampo practices at 1300 W Lodi Ave, Lodi, CA 95242. The listed phone number is (209) 521-6097.
What is Emillie De Ocampo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Emillie De Ocampo enrolled in Medicare?
Yes. Emillie De Ocampo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emillie De Ocampo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emillie De Ocampo reassigns Medicare benefits to Golden Valley Health Center (Manteca, CA). The 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 Emillie De Ocampo'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 Emillie De Ocampo was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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. Emillie De Ocampo, MD · NPI 1609858182
Pediatrics physician in Lodi, California. Individual provider, active in the CMS NPPES registry since November 18, 2005.
## Identity
- **NPI:** 1609858182 (Entity type: Individual)
- **Enumerated:** November 18, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A73019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 W LODI AVE, Lodi, CA 95242-3000
- **Phone:** (209) 521-6097
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Golden Valley Health Center (NPI 1477020121, Manteca, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Other 00A730190 (CA); Other 057811 (CA); Medicaid 00A730190 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609858182) · Data from the CMS NPPES public registry.