SAMANTHA CAMACHO
NPI 1801632682
Dietitian, Registered in San Diego, CA

Active since July 02, 2024Accepts Medicare Assignment
1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2526 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Camacho NPPES

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

SAMANTHA CAMACHO (NPI 1801632682) is an individual dietitian, registered in San Diego, California, licensed in California (86374011) and active in the NPI registry since July 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1801632682
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA CAMACHO
Location Address1809 NATIONAL AVESan Diego, CA 92113-2113
Mailing Address1809 National AveSan Diego, CA 92113-2113 · (619) 515-2526
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1801632682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86374011
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1809 NATIONAL AVE, San Diego, CA 92113

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Camacho 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 ID9739646498
PECOS Enrollment IDI20260812003575

Medicare Billing Reassignment

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

Ambulatory Surgical
1809 NATIONAL AVE
San Diego, CA 92113
  • Reassigned Medicare billing, California enrollment
  • 1,100 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 92113 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
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
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 20

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

Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Physician Assistant
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Dietitian, Registered
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Obstetrics & Gynecology
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1809 NATIONAL AVE
SAN DIEGO, CA 92113

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 Samantha Camacho's NPI number?

The NPI number for Samantha Camacho is 1801632682. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Samantha Camacho located?

Samantha Camacho practices at 1809 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2526.

What is Samantha Camacho's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Samantha Camacho enrolled in Medicare?

Yes. Samantha Camacho is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Camacho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Camacho reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (San Diego, 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 Samantha Camacho'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 Samantha Camacho was last updated on July 2, 2024. 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.