Carlos Campa, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 54808 Issued in CA

Practice address

2525 Grand Ave
Ste. 115
Long Beach, CA 90815-1765

Phone

(562) 570-4544

Fax

(562) 570-4072

NPI assigned

Jul 9, 2009

Sex

Male

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1063641165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 GRAND AVE",
            "address_2": "STE. 115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151765",
            "telephone_number": "562-570-4544",
            "fax_number": "562-570-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GRAND AVE",
            "address_2": "STE. 115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151765",
            "telephone_number": "562-570-4544",
            "fax_number": "562-570-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPA",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 54808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Camenforte
• Elijah David Cameron
• Kathleen C. E. Camia, MSN, FNP-BC
• Camille Q. Adli Dental Corporation
• Dessie Ree Cammon
• Henry Joseph Campagna, LMFT
• Tinaya Alexis Campbell Howell
• Bridgett Renee Campbell, M.A.
• Dakota Troy Campbell, RN
• Debrina Campbell

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.