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

Camille Carlisle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366155707

Camille Carlisle is a Student in an Organized Health Care Education/Training Program in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2604
Phone: (408) 885-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366155707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2022
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

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