Provider Demographics
NPI:1467508614
Name:CAMARDA, DONALD JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JOSEPH
Last Name:CAMARDA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PULIDO CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1623
Mailing Address - Country:US
Mailing Address - Phone:925-820-7492
Mailing Address - Fax:925-820-9022
Practice Address - Street 1:43 PULIDO CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-1623
Practice Address - Country:US
Practice Address - Phone:925-820-7492
Practice Address - Fax:925-820-9022
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE26770213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E26770Medicaid
CAT11437Medicare UPIN
CA000E26774Medicare ID - Type UnspecifiedPROVIDER NUMBER
CA000E26770Medicaid
CA000E26771Medicare ID - Type UnspecifiedPROVIDER NUMBER
CA000E26773Medicare ID - Type UnspecifiedPROVIDER NUMBER