Charles T Campbell, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G072321 Issued in CA

Practice address

2120 Cowell Blvd
Ste. 142
Davis, CA 95618-7835

Phone

(818) 817-9832

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, WI, IA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Anesthesiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farnad Medical Corporation 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.99 of 100Reported as group

Quality

82.81

Promoting interoperability

100

Improvement activities

40

Cost

77.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Farnad Medical Corporation

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1083258362

  Anesthesiology, CA

  Medicare reassignment Care Compare group NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267

  Anesthesiology, CA

  Medicare reassignment NPD
• Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1790401438

  Anesthesiology, CA

  Medicare reassignment NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1700834165

  IA

  Medicare reassignment NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086

  Anesthesiology, WI

  Medicare reassignment NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Palo Alto, CA
  • NPI 1588023949

  Anesthesiology

  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229

  Anesthesiology

  NPD
• Mercy Medical Center

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD
• Mercy Medical Center

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1669617106
  NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1497962914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 MARINA POINTE DR",
            "address_2": "UNIT 1606",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929271",
            "telephone_number": "310-710-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 COWELL BLVD",
            "address_2": "STE. 142",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187835",
            "telephone_number": "818-817-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHARLES",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "101796-875",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G072321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497962914",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Calfee, PH. D.
• Ruby Medina Calonge
• Ashley Asia Calvo
• Heriberto Camarena
• Mary Camarena
• Elizabeth A Canevari, P.T.
• Alicia Brittany Noel Canfield, BS IN PROGRESS
• Capital Sexual Health
• Capitol Periodontal Group
• Rayne Caragan

• All providers in Davis, CA
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.