Active NPI
Guadalupe Borjon Campa, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1164895892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 94534
- Practice address
- 1390 Market St Ste 200
San Francisco, CA 94102-5404 - Phone
- (209) 340-7889
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 94534 | CA | Primary |
Addresses
Primary practice location
1390 Market St Ste 200
San Francisco, CA 94102-5404
Mailing address
PO Box 40742
Downey, CA 90239-1742
Phone (209) 340-7889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94534 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1164895892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40742",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902391742",
"telephone_number": "209-340-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 MARKET ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025404",
"telephone_number": "209-340-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORJON CAMPA",
"first_name": "GUADALUPE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2023-04-26",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "94534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.