Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron A Mazza

Individual provider Registered Nurse · NPI 1619614922

Cameron A Mazza is a Nurse Practitioner in San Diego, California. Graduated from Emory University School of Medicine in 2022, 4 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Georgia.

Years since qualifying
4
Trained at
Emory University School of Medicine
Licensed in
CA, GA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9350 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 52 Barolo, Rancho Mirage, CA 92270-5650 — (650) 346-7440
  • 4250 1st Ave, San Diego, CA 92103-2026 — (800) 926-8273
  • 901 Wilshire Blvd Fl 1, Santa Monica, CA 90401-1854 — (310) 829-8945

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95024133 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN306180 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95024133 (CA)

Record details

NPI number1619614922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego