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LUIS ALBERTO JIMENEZ-CAMARGO PH.D.
NPI 1649616137
Counselor - Mental Health in Oakland, CA

Active since May 11, 2013PECOS Enrolled
3505 BROADWAY FL 4, OAKLAND, CA 94611(510) 752-1075 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2024, Jan 3, 2022, Aug 17, 2020 (3 updates tracked since 2020).

About Luis Alberto Jimenez-camargo Ph.d. NPPES

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

LUIS ALBERTO JIMENEZ-CAMARGO PH.D. (NPI 1649616137) is an individual mental health provider in Oakland, California and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649616137
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUIS ALBERTO JIMENEZ-CAMARGOCredential: PH.D.
Location Address3505 BROADWAY FL 4Oakland, CA 94611-5714
Mailing Address3505 Broadway Fl 4Oakland, CA 94611-5714 · (510) 752-1075
Phone(510) 752-1075
Sole ProprietorNo
Enumeration DateMay 11, 2013
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1649616137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3505 BROADWAY FL 4, Oakland, CA 94611
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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)

Luis Alberto Jimenez-camargo Ph.d. 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.

Other Providers at the Same Location NPPES 6

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

BENJAMIN CAMPBELL PH.D.
Psychologist (Clinical)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075
TINA YAQING CAI LAM MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075
NANCY S CHANG
Social Worker (Clinical)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1000
MISS SOPHIA LING WONG
Pharmacist
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1401
DR. JORDAN DANIELLE LEE PSYD
Psychologist (Clinical)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-5324
DR. CHELSEA KIRSTIN ACKER PSYD
Psychologist (Clinical Child & Adolescent)
3505 BROADWAY FL 4
OAKLAND, CA 94611
Alameda County (510) 752-1075

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 Luis Jimenez-camargo's NPI number?

The NPI number for Luis Jimenez-camargo is 1649616137. It was assigned to this individual provider in the NPPES registry on May 11, 2013.

Where is Luis Jimenez-camargo located?

Luis Jimenez-camargo practices at 3505 Broadway Fl 4, Oakland, CA 94611. The listed phone number is (510) 752-1075.

What is Luis Jimenez-camargo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Luis Jimenez-camargo enrolled in Medicare?

Yes. Luis Jimenez-camargo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Jimenez-camargo was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.