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

Kameron Collin Black, DO

Individual provider Internal Medicine Physician · NPI 1134708886

Kameron Collin Black, DO is an Internal Medicine in Stanford, California. Graduated from Rocky Vista University College of Osteopathic Med in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
CA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A22588 (CA)

Record details

NPI number1134708886
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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