Diego Thomas Perez-Campos, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10227020 Issued in OR

Practice address

115 NE May LN
McMinnville, OR 97128-9272

Phone

(503) 472-1338

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Garcia Memorial Health CenterGroup PAC ID 7113823881, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment Care Compare group NPD (past)
• One Community Health

  • Federally Qualified Health Center (FQHC)
  • Hood River, OR
  • NPI 1851385918
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1407573835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 HIGHWAY 35",
            "city": "MOUNT HOOD PARKDALE",
            "state": "OR",
            "postal_code": "970417741",
            "telephone_number": "541-490-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE MAY LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289272",
            "telephone_number": "503-472-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CAMPOS",
        "first_name": "DIEGO",
        "middle_name": "THOMAS",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10227020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Pelzer, PHARM D
• Krisan Pendleton
• Jessica Amanda Pennell
• Maria Del Rosario Peralta Cortez
• Janice A Perciano
• Genesis Perez
• Kenn Peters
• Betty Ilene Peterson
• Keven Peterson, 1835P0018X
• David Fink Pfendler, MD

• Registered Dietitian in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.