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

Marinelle Camilon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023559259

Marinelle Camilon is a Family Practice in Glendale, California. Qualified in 2017, 9 years ago. Practices with San Pedro Hospitalist Medical Group Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1509 Wilson Terrace Drive Rehab Bldg Ground Fl Rm 7G03
Glendale, CA 91206-4007
Phone: (858) 349-6454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18460 Roscoe Blvd, Northridge, CA 91325-4107 — (818) 993-4054

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A16764 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023559259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESFebruary 4, 2021
Certification dateJanuary 29, 2021
Mailing address1509 Wilson Terrace Drive, Rehab Building, Ground Floor, Rm 7g03, Glendale, CA 91206-4007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice San Pedro Hospitalist Medical Group Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Glendale