Provider Demographics
NPI:1346247392
Name:ADAMS, CAMERON RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:RUSSELL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7135 HOLLYWOOD BLVD
Mailing Address - Street 2:STE #1206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-3212
Mailing Address - Country:US
Mailing Address - Phone:310-659-1498
Mailing Address - Fax:310-659-1528
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-659-1498
Practice Address - Fax:310-659-1528
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG821922084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G821920OtherMEDI-CAL
CA7192043OtherAETNA
CAG082192OtherPACIFICARE
CAZZZ64014ZOtherBLUE SHIELD
CA04-3790957OtherBLUE CROSS OF CALIFORNIA
CA1743847OtherUNITED HEALTHCARE
CAG082192OtherPACIFICARE
CAZZZ64014ZOtherBLUE SHIELD
CA1743847OtherUNITED HEALTHCARE