CAMERON PARK REHAB
NPI 1770294928
Clinic/Center - Rehabilitation, Substance Use Disorder in Cameron Park, CA

Active since December 08, 2022
4120 CAMERON PARK DR STE 403, CAMERON PARK, CA 95682(310) 343-8684 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 1, 2023, Dec 8, 2022 (2 updates tracked since 2022).

About Cameron Park Rehab NPPES

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

CAMERON PARK REHAB (NPI 1770294928) is a healthcare organization registered as a rehabilitation, substance use disorder in Cameron Park, California and active in the NPI registry since December 2022. The organization lists Shaina Donner, Manager, as its authorized official.

NPPES Registry Identity

NPI1770294928
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCAMERON PARK REHAB
Location Address4120 CAMERON PARK DR STE 403Cameron Park, CA 95682-7287
Mailing Address4120 Cameron Park Dr Ste 403Cameron Park, CA 95682-7287
Organization SubpartNo
Authorized OfficialShaina DonnerManager · (310) 343-8684
Enumeration DateDecember 8, 2022
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1770294928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
4120 CAMERON PARK DR STE 403, Cameron Park, CA 95682

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
4120 CAMERON PARK DR STE 403
CAMERON PARK, CA 95682

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 Cameron Park Rehab's NPI number?

The NPI number for Cameron Park Rehab is 1770294928. It was assigned to this organization in the NPPES registry on December 8, 2022.

Where is Cameron Park Rehab located?

Cameron Park Rehab is located at 4120 Cameron Park Dr Ste 403, Cameron Park, CA 95682. The listed phone number is (310) 343-8684.

What is Cameron Park Rehab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Cameron Park Rehab was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.