Andrew Ulises Campos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

105051 Issued in CA

Practice address

3455 Percy St
Los Angeles, CA 90023-1716

Phone

(323) 268-2100

NPI assigned

Nov 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1164187068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11053 RANCHITO ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311431",
            "telephone_number": "323-551-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PERCY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231716",
            "telephone_number": "323-268-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "ANDREW",
        "middle_name": "ULISES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Gabriela Campos-Garcia, LCSW
• Perla Campos-Ruiz
• Adrian Campos
• Alberto Luis Campos Sr.
• Alisia Marie Campos
• Aracely Campos
• Bertha Campos
• Chantel Campos
• Cynthia Campos
• Destiny Campos

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.