Active NPI
Denise Campos
- Marriage & Family Therapist
- Santa Fe Springs, CA
National Provider Identifier
1174123871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT148180
- Practice address
- 11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815 - Phone
- (877) 722-2737
- NPI assigned
- Oct 30, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT148180 | CA | Primary |
Addresses
Primary practice location
11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815
Mailing address
1350 E 43Rd PL
Los Angeles, CA 90011-3517
Phone (323) 712-8076
Other practice location 1
18700 Oxnard St
Tarzana, CA 91356-1413
Phone (818) 996-1051
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 |
|---|---|---|---|
| AMFT148180 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1174123871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E 43RD PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900113517",
"telephone_number": "323-712-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11731 TELEGRAPH RD STE K",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706815",
"telephone_number": "877-722-2737"
}
],
"practiceLocations": [
{
"address_1": "18700 Oxnard St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913561413",
"country_code": "US",
"telephone_number": "818-996-1051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPOS",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT148180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.