Michelle Grino Campana, M.D.
Individual provider Active NPI Pediatrics Physician · Valencia, CA
NPI 1003075714 · NPPES record last updated Nov 5, 2019
Key facts
- NPI
- 1003075714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- BP10032064 (TX)
- Practice address
- 23823 Valencia Blvd
Suite 120
Valencia, CA 91355-9513 - Phone
- (661) 253-4971
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10032064 | TX | MD | Pediatrics Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Yen, MD, Inc | Pediatrics | Past | Accepting new patients |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients | |
| Santa Clarita Pediatrics | Pediatrics | Past | Accepting new patients |
| Sunanda Reddy Vadapalli, MD, Inc | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBEGCA/Endpoint/HBEGCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10032064 | TX | Yes |
Addresses
Primary practice location
23823 Valencia Blvd
Suite 120
Valencia, CA 91355-9513
Mailing address
23823 Valencia Blvd
Suite 120
Valencia, CA 91355-9513
Phone (661) 253-4971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2195077 | Medicaid | LA |
Other names
- Marie Michelle Antonio Grino
Other providers in Valencia, CA
- California Rehabilitation & Sports Therapy a California Physical Ther
- California Retina Consultants
- Rena Desai Callahan
- Ira Zephaniah Talampas Calvo
- David Roland Campa
- Darla Campbell
- Carina Campos
- Jonathan Campos
- Samantha Campos
- Bethany Can
All providers in Valencia, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.