Caitlin Marie Campbell, M.S.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000640 Issued in CA

Practice address

9834 Genesee Ave Ste 128
La Jolla, CA 92037-1214

Phone

(858) 824-5048

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ccampbell126692@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1467831198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371214",
            "telephone_number": "858-824-5048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 E Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163636",
            "country_code": "US",
            "telephone_number": "858-824-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calminds
• Mariam Bonyadi Camacho, MD, PHD
• Rachel Camarena
• Jesse A Camen, O.D.
• Camino Renal Care LLC
• Jean Campbell, PH.D.
• Anthony M Canarelli, PSY.D
• Julia Candelaria, DACM, L.AC
• Nicholas Canelo, MD
• Karen Cangialosi, AAPC FELLOW, MA

• Genetic Counselor (M.S.) in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.