Active NPI
Ildefonso Timple Campomanes III, PT, DPT
- Physical Therapist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34058
- Practice address
- 2838 Oswell St
Bakersfield, CA 93306-2704 - Phone
- (661) 377-1700
- Fax
- (661) 616-6199
- NPI assigned
- May 7, 2007
- Last updated
- Oct 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34058 | CA | Primary |
Addresses
Primary practice location
2838 Oswell St
Bakersfield, CA 93306-2704
Mailing address
3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 377-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2838 Oswell St
Bakersfield, CA 93306-2704
Phone (661) 377-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34058 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrio Therapy-Fitness, Inc. | Physical Therapist | Current | Accepting new patients |
| Lemuel C & Elmezen Martin | Physical Therapist | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411
2838 Oswell St
Bakersfield, CA 93306
Phone (661) 873-7100
3400 Calloway Dr
Ste 603
Bakersfield, CA 93312
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Terrio Physical Therapy-Fitness, Inc.
- Physical Therapist
- Bakersfield, CA
- NPI 1841267689
-
dba Quail Run Physical Therapy
- Physical Therapist
- Lakeport, CA
- NPI 1477614741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1588877666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CALLOWAY DR STE 603",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122514",
"telephone_number": "661-377-1700",
"fax_number": "661-616-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 OSWELL ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933062704",
"telephone_number": "661-377-1700",
"fax_number": "661-616-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOMANES",
"first_name": "ILDEFONSO",
"middle_name": "TIMPLE",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.