Active NPI
Lorraine Dome Campbell, PAC
- Medical Physician Assistant
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14728
- Practice address
- 3838 San Dimas St
Suite A200
Bakersfield, CA 93301-2284 - Phone
- (661) 654-0200
- Fax
- (661) 664-2855
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14728 | CA | Primary |
Addresses
Primary practice location
3838 San Dimas St
Suite A200
Bakersfield, CA 93301-2284
Mailing address
3400 Data Dr
Physician Support Services - 2ND FL
Rancho Cordova, CA 95670-7956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G476810 | Other | CA | MEDICAL/BKFD INT MED/DOUG |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3838 San Dimas St
Suite B201
Bakersfield, CA 93301-1496
Phone (661) 321-3161
9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Hospital & facility affiliations
- Around the Clock Home Care
- Adventist Health Bakersfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14728 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Polyclinic Medical Center, Inc. | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161
3838 San Dimas St
Ste A200
Bakersfield, CA 93301
Phone (661) 654-0200
9500 Stockdale Hwy
Ste 201
Bakersfield, CA 93311
Phone (661) 327-1431
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIAIBD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1083971881
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Multi-Specialty Clinic/Center
- Belmont, CA
- NPI 1174531859
-
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1053589598
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- Home Health Agency
- Bakersfield, CA
- NPI 1922091107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1194747808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "PHYSICIAN SUPPORT SERVICES - 2ND FL",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SAN DIMAS ST",
"address_2": "SUITE A200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012284",
"telephone_number": "661-654-0200",
"fax_number": "661-664-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LORRAINE",
"middle_name": "DOME",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA14728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL/BKFD INT MED/DOUG",
"identifier": "G476810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.