Active NPI
Blanca Samira Campos, MD
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A114042
- Practice address
- 3390 University Ave Ste 100
Riverside, CA 92501-3315 - Phone
- (844) 827-8000
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A114042 | CA | Primary |
Addresses
Primary practice location
3390 University Ave Ste 100
Riverside, CA 92501-3315
Mailing address
3390 University Ave Ste 100
Riverside, CA 92501-3315
Phone (844) 827-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3390 University Ave
Suite 100
Riverside, CA 92501-3315
Phone (951) 827-7793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114042 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Ucr Health - Psychiatry | Current | Accepting new patients | |
| UCLA Family Practice | Family Medicine | Past | Accepting new patients |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793
3390 University Ave
Riverside, CA 92501
Phone (951) 447-4697
3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
-
- Psychiatry Physician
- Irvine, CA
- NPI 1336679109
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1477511046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1104086867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "BLANCA",
"middle_name": "SAMIRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A114042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.