Active NPI
Sade Nicole Campbell, L.V.N
- Nursing Care Agency
- Riverside, CA
National Provider Identifier
1376007773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- VN285001
- Practice address
- 771 W Blaine St Ste C&D
Riverside, CA 92507-3940 - Phone
- (951) 955-2233
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | VN285001 | CA | Primary |
Addresses
Primary practice location
771 W Blaine St Ste C&D
Riverside, CA 92507-3940
Mailing address
10730 Church St Apt 386
Rancho Cucamonga, CA 91730-6661
Phone (626) 422-9448
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 |
|---|---|---|---|
| VN285001 | CA | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1376007773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 CHURCH ST APT 386",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306661",
"telephone_number": "626-422-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 W BLAINE ST STE C&D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073940",
"telephone_number": "951-955-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SADE",
"middle_name": "NICOLE",
"credential": "L.V.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "VN285001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.