CAMERON GRADE, DC — NPI 1407998172 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1407998172

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NR0200X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology

Box 32 Service Location & ZIP+4

26111 BOUQUET CANYON RD STE G3, SAUGUS, CA, 91350-2670

✓ 9-Digit EDI 837 ZIP+4 (91350-2670)

Practice Phone & Referral Fax

(661) 254-0803

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1407998172 (CAMERON GRADE, DC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1407998172` (NPI-1 Individual Practitioner)
Provider / Legal Name	CAMERON GRADE, DC
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology NUCC Code: `111NR0200X` (Chiropractor, Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	26111 BOUQUET CANYON RD STE G3, SAUGUS, CA, 91350-2670
Practice Telephone / Fax	Tel: (661) 254-0803
Administrative Mailing Address	26111 BOUQUET CANYON RD STE G3, SAUGUS, CA, 91350-2670
Enumeration & Last Sync	Enumerated: 2007-02-12 \| CMS Record Updated: 2012-02-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

26111 BOUQUET CANYON RD STE G3, SAUGUS, CA, 91350-2670

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Plain-English Taxonomy & CMS Crosswalk (111NR0200X)

What Does Taxonomy Code 111NR0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0200X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAMERON GRADE, DC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NR0200X` — Chiropractor, Radiology Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology	State: CA \| License: `DC15810` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CAMERON GRADE, DC (NPI #1407998172)