Individual provider Active NPI

Dawn K Campellone, ULTRASOUND TECH

  • Sonography Radiologic Technologist
  • Orange, CA
National Provider Identifier
1043931819
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Practice address
1018 N Tustin St
Orange, CA 92867-5958
Phone
(714) 644-9955
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X Primary

Addresses

Primary practice location

1018 N Tustin St
Orange, CA 92867-5958

Mailing address

29428 Studio Dr
Menifee, CA 92584-4201
Phone (714) 457-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Diagnostic Ultrasound, Inc. CurrentSince Sep 11, 2022 Accepting new patients

Locations

1018 N Tustin St
Orange, CA 92867
Phone (714) 644-9555

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1043931819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29428 STUDIO DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925844201",
            "telephone_number": "714-457-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675958",
            "telephone_number": "714-644-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPELLONE",
        "first_name": "DAWN",
        "middle_name": "K",
        "credential": "ULTRASOUND TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.