OrganizationVericare Of California Medical Group(Vericare)PsychologistBehavioral Health & Social Service ProvidersPractice Address205 Granada St, Camarillo, CA 93010-7715(800) 257-8715(800) 370-3651PECOS EnrollmentBased on the most recent information from CMS, provider Vericare Of California Medical Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1689629198Provider TypeOrganizationFull NameVericare Of California Medical GroupOther NameVericareSubpartNoEnumeration Date5/23/2006Last Updated7/11/2017Contact InformationPractice LocationPractice Address205 Granada St, Camarillo, CA 93010-7715Phone(800) 257-8715Fax(800) 819-1655Mailing LocationMailing Address55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534Phone(800) 370-3651Fax(877) 515-7147Authorized OfficialNameKing, Melissa (Director, Credentialing Enrollment)Phone(800) 370-3651Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode364SP0808XDescriptionClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDGPS000150DescriptionMedicaidIssuerUnlistedCaliforniaIDCH5753DescriptionOtherIssuerRAILROAD MEDICARECalifornia