CAMILLE NICOLE DIXON MPAS
NPI 1902243298
Physician Assistant in San Diego, CA

Q: What is Camille Dixon's NPI number?

The NPI number for Camille Dixon is 1902243298. It was assigned to this individual provider in the NPPES registry on May 28, 2013. The provider is also known as Camille Nicole Cook.

Q: What is Camille Dixon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Camille Dixon was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 28, 2013

6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2022, May 7, 2019, Jan 24, 2019 (3 updates tracked since 2019).

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About Camille Nicole Dixon Mpas NPPES

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

CAMILLE NICOLE DIXON MPAS (NPI 1902243298) is an individual physician assistant in San Diego, California, licensed in California (22984) and active in the NPI registry since May 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902243298

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAMILLE NICOLE DIXONCredential: MPAS

Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715

Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188

Phone(858) 859-1188

Sole ProprietorNo

Enumeration DateMay 28, 2013

Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1902243298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 22984✔ Licensed in UT · 8512355-1206✔ Licensed in PA · MA056088

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6195 LUSK BLVD STE 250, San Diego, CA 92121

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Other Names 1

Former Name (1)Camille Nicole Cook

Secondary Practice Locations 2

Location 12500 S Lake Park BlvdWest Valley City, UT 84120-8218 · Phone (801) 902-4238

Location 29525 Towne Centre Dr Ste 150San Diego, CA 92121 · Phone (858) 859-1188 · Fax (844) 404-8924

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.

ALEX BOLTON APRN

Nurse Practitioner (Family)