Individual provider Active NPI

Alycia Garcia Campos, M.D.

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1023269982
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A107691 Issued in CA
Practice address
9880 Brimhall Rd
Bakersfield, CA 93312-2701
Phone
(661) 587-8990
Fax
(661) 587-8980
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Family Medicine Physician 207Q00000X A107691 CA Primary

Addresses

Primary practice location

9880 Brimhall Rd
Bakersfield, CA 93312-2701

Mailing address

9880 Brimhall Rd
Bakersfield, CA 93312-2701
Phone (661) 587-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140128000948 CA Practitioner - Family Practice 4486883253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A107691CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1023269982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122701",
            "telephone_number": "661-587-8990",
            "fax_number": "661-587-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122701",
            "telephone_number": "661-587-8990",
            "fax_number": "661-587-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CAMPOS",
        "first_name": "ALYCIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.