Active NPI
Steven Ocampo, PT, DPT
- Physical Therapist
- Highland, CA
National Provider Identifier
1457023491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300852
- Practice address
- 28807 Baseline St
Highland, CA 92346-5019 - Phone
- (909) 742-7643
- NPI assigned
- Sep 28, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300852 | CA | Primary |
Addresses
Primary practice location
28807 Baseline St
Highland, CA 92346-5019
Mailing address
384 Avery St
San Bernardino, CA 92404-1703
Phone (909) 531-2060
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300852 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qarmon PC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1457023491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 AVERY ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924041703",
"telephone_number": "909-531-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28807 BASELINE ST",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923465019",
"telephone_number": "909-742-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPO",
"first_name": "STEVEN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "300852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.