DR. EVERARDO CAMACHO DC
NPI 1659061265
Chiropractor in Simi Valley, CA

Q: What is Everardo Camacho's NPI number?

The NPI number for Everardo Camacho is 1659061265. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Everardo Camacho's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Everardo Camacho was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 09, 2023

1424 MADERA RD, SIMI VALLEY, CA 93065(805) 522-5722(805) 915-4141 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, May 9, 2023 (2 updates tracked since 2023).

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About Dr. Everardo Camacho Dc NPPES

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

DR. EVERARDO CAMACHO DC (NPI 1659061265) is an individual chiropractor in Simi Valley, California, licensed in California (36562) and active in the NPI registry since May 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1659061265

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. EVERARDO CAMACHOCredential: DC

Location Address1424 MADERA RDSimi Valley, CA 93065-3053

Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217

Phone(805) 522-5722

Fax(805) 915-4141

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 9, 2023

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1659061265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 36562

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1424 MADERA RD, Simi Valley, CA 93065

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Everardo Camacho Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688179682

PECOS Enrollment IDI20250922003195

Medicare Billing Reassignment

Medicare enrollment records show Everardo Camacho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas Del Camino Real Inc

Same address

Federally Qualified Health Center (FQHC)

1424 MADERA RD
Simi Valley, CA 93065

Reassigned Medicare billing, California enrollment
216 clinicians in this Medicare group

NPI 1720362056 (805) 522-5722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

BETTY GUTMAN LCSW

Social Worker (Clinical)