Active NPI
Daniel Tres Campbell, PA
- Physician Assistant
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 809 Cypress Oak Cir
Deland, FL 32720-2659 - Phone
- (904) 209-9280
- NPI assigned
- Jul 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Primary | |
| Physician Assistant | 363A00000X | 8959 | AZ | |
| Registered Dietitian | 133V00000X | ND6497 | FL | |
| Physician Assistant | 363A00000X | PA9110829 | FL |
Addresses
Primary practice location
809 Cypress Oak Cir
Deland, FL 32720-2659
Mailing address
809 Cypress Oak Cir
Deland, FL 32720-2659
Phone (904) 209-9280
Other practice location 1
790 N Milwaukee St Ste 313
Milwaukee, WI 53202-4148
Phone (888) 803-3370
Other practice location 2
400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (888) 803-3370
Other practice location 3
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3331
Other practice location 4
415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370
Other practice location 5
9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370
Other practice location 6
2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, AZ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-3060
440 Franklin St
Bloomfield, NJ 07003-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6497 | FL | MD | Registered Dietitian |
| 8959 | AZ | MD | Pharmacist |
| 60294 | CA | MD | Oncology Pharmacist |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1396268058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CYPRESS OAK CIR",
"city": "DELAND",
"state": "FL",
"postal_code": "327202659",
"telephone_number": "904-209-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CYPRESS OAK CIR",
"city": "DELAND",
"state": "FL",
"postal_code": "327202659",
"telephone_number": "904-209-9280"
}
],
"practiceLocations": [
{
"address_1": "790 N Milwaukee St Ste 313",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532024148",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Tampa St Fl 15",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336024730",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 N Crescent Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902106813",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9700 N 91st St Ste A115",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585036",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 NE 214th St Ste 801",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801269",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DANIEL",
"middle_name": "TRES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-24",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8959",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6497",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.