Individual provider Active NPI

Michael J Campbell, MD

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1093919474
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A120126 Issued in CA
Practice address
UC Davis Cancer Center
4501 X Street, Suite 3010
Sacramento, CA 95817-2229
Phone
(916) 734-5907
Fax
(916) 703-5267
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A120126 CA Primary

Addresses

Primary practice location

UC Davis Cancer Center
4501 X Street, Suite 3010
Sacramento, CA 95817-2229

Mailing address

UC Davis Cancer Center
4501 X Street, Suite 3010
Sacramento, CA 95817-2229
Phone (916) 734-5907

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
I20120620000340 CA Practitioner - General Surgery 4183888373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2825 J St
Sacramento, CA 95816-4300
Phone (916) 734-0779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120126CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Aug 10, 2013 Accepting new patients
Regents of the University of California CurrentSince Sep 14, 2013 Accepting new patients
Regents of the University of California CurrentSince Sep 14, 2013 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 10, 2013 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Surgery Past Accepting new patients

Locations

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

3850 G St
Merced, CA 95340
Phone (209) 384-6528

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4501 X St
Ste 3010
Sacramento, CA 95817
Phone (916) 734-5907

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680

2825 J St
Sacramento, CA 95816
Phone (916) 734-0779

4501 X St
Fl 2
Sacramento, CA 95817
Phone (916) 734-5959

4501 X St
Sacramento, CA 95817
Phone (916) 734-5959

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1093919474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UC DAVIS CANCER CENTER",
            "address_2": "4501 X STREET, SUITE 3010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-5907",
            "fax_number": "916-703-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UC DAVIS CANCER CENTER",
            "address_2": "4501 X STREET, SUITE 3010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-5907",
            "fax_number": "916-703-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A120126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.