Erica Campos Rogers, CATC 197173 I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

197173I Issued in CA

Practice address

4120 Birch St
Newport Beach, CA 92660-2219

Phone

(714) 540-9070

Fax

(714) 884-4347

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Campos Professional name

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1265969976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 S HIGHLAND AVE APT D107",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323504",
            "telephone_number": "213-270-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602219",
            "telephone_number": "714-540-9070",
            "fax_number": "714-884-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS ROGERS",
        "first_name": "ERICA",
        "credential": "CATC 197173 I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "197173I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "CAMPOS",
            "credential": "CATC-1 1971731",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Byron Campbell, D.C.
• Karla Elizabete Campbell, MS, RD, CSSD
• Enrique A Campo
• Maria Angelica Campos de Ponce, MSC/MFCT, LMFT
• Alejandro Campos Fernandez
• Biridiana Yunuen Campos
• Canaan Health Care, Inc.
• Francesca Cancian, MFT
• Candace N. Howe, M.D., a Professional Medical Corporation
• Patricia Lynn Canepa, MARRIAGE AND FAMILY

• Addiction (Substance Use Disorder) Counselor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.