David J. Campisi, M.D., a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G25065 Issued in CA

Legal business name

DAVID J. CAMPISI, M.D., A MEDICAL CORPORATION

Practice address

1360 W 6TH St
North Building, Suite 315
San Pedro, CA 90732-3514

Phone

(310) 831-8952

Fax

(310) 831-0568

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Darla Menkee Buff

Title

Office Manager

Phone

(310) 831-8952

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1548447162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "NORTH BUILDING, SUITE 315",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-831-8952",
            "fax_number": "310-831-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "NORTH BUILDING, SUITE 315",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-831-8952",
            "fax_number": "310-831-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. CAMPISI, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BUFF",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "MENKEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-831-8952"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G25065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG250651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binh Dang, MD
• Sean Dare
• Maxwell A. Dartey, M.D.
• Farina Yasmin Dary
• David E Feldman, M.D., Inc.
• David Martin D.D.S., Inc.
• Heather Adrienne Davidson, LCSW
• Jodi-Anne Martina Davidson, NP
• Robert Owen Davies, M.D.
• Veronica Davies, M.S., MFTI

• Internal Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.