Jerilynn Ford Campbell, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A61753 Issued in CA

Practice address

345 South Halcyon Road
Arroyo Grande, CA 93420

Phone

(805) 489-4261

NPI assigned

Jun 15, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1023052834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL STREET",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081803",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SOUTH HALCYON ROAD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "805-489-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JERILYNN",
        "middle_name": "FORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A61753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Aquino Buranday, PA-C
• Sara Kane Burt
• Elaine Kathryn Bynum, L.AC., C.M.T.
• Daniel William Cable, PA-C
• Maria Regina Camberos Rios, PT
• Nicolette Cantarella, MA
• Travona Carlisle, PHARMD
• Cheryl Ann Caruso, REGISTERED NURSE
• Susan Denise Cashier-Cozza, RDHAP #189
• Patrick Kyle Cassidy, PSYCH TECH

• Emergency Medicine Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.