Individual provider Active NPI

Maria A Campbell, N.P.

  • Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1154526986
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1204 Issued in CA
Practice address
320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179
Phone
(760) 944-7300
Fax
(760) 633-3949
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1204 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179

Mailing address

320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

Other identifiers 1

IdentifierTypeStateIssuer
12047OtherCANURSE PRACTITIONER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000570 CA Practitioner - Nurse Practitioner 7719029743 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1204CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Sep 2, 2019 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

Interoperability endpoints

  • Direct secure messaging: mcampbell42144@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1154526986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245179",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245179",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "12047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.