Dakota Troy Campbell, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95030276 Issued in CA

Practice address

1250 Pacific Ave
Long Beach, CA 90813-3026

Phone

(562) 437-0831

Fax

(562) 548-6604

NPI assigned

Mar 31, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Care Onsite, Inc.

  • Occupational Medicine Physician
  • Long Beach, CA
  • NPI 1487717930
  NPD (past)
• Long Beach Neurological Medical Group, Inc.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Long Beach, CA
  • NPI 1891898862
  NPD (past)

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1528696911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16072 SPRINGDALE ST APT 115",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491741",
            "telephone_number": "317-601-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133026",
            "telephone_number": "562-437-0831",
            "fax_number": "562-548-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DAKOTA",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28199519A",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95030276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dessie Ree Cammon
• Carlos Campa, M.S.
• Henry Joseph Campagna, LMFT
• Tinaya Alexis Campbell Howell
• Bridgett Renee Campbell, M.A.
• Debrina Campbell
• Kim Campbell, DC
• Margarita Campbell
• Robert Gregory Campbell, D.D.S.
• Tamara Campbell, PTA

• General Practice Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.