Active NPI
KC Campbell MD a Medical Corporation
- Anatomic Pathology & Clinical Pathology Physician
- Chula Vista, CA
National Provider Identifier
1114085230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G24054
- Legal business name
- KC CAMPBELL MD A MEDICAL CORPORATION
- Practice address
- 751 Medical Center CT
Department of Pathology
Chula Vista, CA 91911-6617 - Phone
- (619) 482-3612
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- K. C. Campbell, MD
- Title
- President
- Phone
- (619) 482-3612
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | G24054 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G24054 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Department of Pathology
Chula Vista, CA 91911-6617
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1114085230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-482-3612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC CAMPBELL MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "K.",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-482-3612",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G24054",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G24054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.