Rick Suchiro Campa, MD
Individual provider Active NPI Family Medicine Physician · Malibu, CA
NPI 1407175136 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1407175136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A127923 (CA)
- Practice address
- 23661 Pacific Coast Highway
Malibu, CA 90265 - Phone
- (310) 456-1603
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127923 | CA | MD | Family Medicine Physician |
| MT196675 | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT196675 | PA | |
| Family Medicine Physician | 207Q00000X | A127923 | CA | Yes |
Addresses
Primary practice location
23661 Pacific Coast Highway
Malibu, CA 90265
Mailing address
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 372-8044
Other providers in Malibu, CA
- Lindsley Alice Burke
- Melissa Burke
- Tytiana Burns
- Ca RMH Physician Services, PC
- California Radiology Staffing Solutions PC
- Scott Lloyd Campbell
- Barbara Jean Carey
- Kim Carnazzola
- Carrara Beach House
- Deepa Chemery
All providers in Malibu, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.