Mary Grayle J Camacho, PT
Physical Therapist in Private Practice · Los Gatos
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- 1 Medical Board action on record
Offices
1 location · California Luna Care Physical Therapy PC · 769 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Mary Grayle J Camacho’s office at (866) 525-3175 to ask if they take your plan before you enroll.
California Medical Board record
Licence C37616 · Cancelled
Licence status: Cancelled · since 1977 · Meharry Medical College School of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 2006-09-15 | Action in another state or by a federal agencyDiscipline | Georgia board issued dr. wormuth a fine and required him to complete additional continuing medical education. · Georgia composite board of medical examiners |
Professional record
- NPI
- 1952555823
- Licence
- CA 37616, IL 070016394California C37616: Cancelled
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 28022 Marguerite Pkwy, Apt. C, Mission Viejo, CA, 92692
- NPI first listed
- 2008-11-05
- NPI last updated
- 2012-01-12
This is when the NPI record was last certified, not a medical board exam.