Organization Active NPI

David S Campion MD a Medical Corp

  • Clinical Neurophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1477877272
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A24908 Issued in CA
Legal business name
DAVID S CAMPION MD A MEDICAL CORP
Practice address
10780 Santa Monica Blvd
Suite 210
Los Angeles, CA 90025-4749
Phone
(310) 453-5404
Fax
(310) 275-6997
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
David S Campion, M.D.
Title
President
Phone
(310) 453-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X A24908 CA Primary

Addresses

Primary practice location

10780 Santa Monica Blvd
Suite 210
Los Angeles, CA 90025-4749

Mailing address

10780 Santa Monica Blvd
Suite 210
Los Angeles, CA 90025-4749
Phone (310) 453-5404

Other identifiers 1

IdentifierTypeStateIssuer
00A249081MedicaidCA

National Provider Directory

National Provider Directory

Locations

10780 Santa Monica Blvd
Ste 440
Los Angeles, CA 90025
Phone (310) 453-5404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1477877272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-453-5404",
            "fax_number": "310-453-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-453-5404",
            "fax_number": "310-275-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S CAMPION MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-5404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A24908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A249081",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.