What is Camia Custodio's NPI number?

Camia Custodio's National Provider Identifier (NPI) is 1730520644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Camia Custodio's specialty?

Camia Custodio is listed in the NPPES registry with a primary specialty of Clinic/Center (Ambulatory Health Care Facilities).

Where is Camia Custodio located?

Camia Custodio's practice location on file with NPPES is 301 S 4th St, San Jose, IL 62682-9527.

What is Camia Custodio's phone number?

The practice phone number listed in the NPPES registry for Camia Custodio is (309) 247-1203.

Is Camia Custodio's NPI active?

Yes — Camia Custodio's NPI (1730520644) is active in the NPPES registry as of the last update on 2026-05-17.

IndividualActive

Camia Custodio

NPI 1730520644 · Clinic/Center · San Jose, IL

Camia Custodio is a Clinic/Center provider in San Jose, IL (NPI 1730520644).

Provider details

NPI number: 1730520644
Entity type: Individual
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

301 S 4th St

San Jose, IL 62682-9527

Phone: (309) 247-1203

Street-level locationGet directions

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Mailing address