Active NPI
Nicolas Campos, D.C.
- Sports Physician Chiropractor
- West Hollywood, CA
National Provider Identifier
1073544979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC27396
- Practice address
- 1042 N Fairfax Ave
West Hollywood, CA 90046-6103 - Phone
- (323) 651-2464
- Fax
- (323) 651-2459
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC27396 | CA | Primary |
Addresses
Primary practice location
1042 N Fairfax Ave
West Hollywood, CA 90046-6103
Mailing address
1042 N Fairfax Ave
West Hollywood, CA 90046-6103
Phone (323) 359-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050325000796 | CA | Practitioner - Chiropractic | 2668428228 | Practice locations: Palm Desert, CA; West Hollywood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1042 N Fairfax Ave
West Hollywood, CA 90046-6103
Phone (323) 359-1032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27396 | CA | MD | Clinical Psychologist |
| DC27396 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1073544979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 N FAIRFAX AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466103",
"telephone_number": "323-359-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 N FAIRFAX AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466103",
"telephone_number": "323-651-2464",
"fax_number": "323-651-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC27396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.