Individual provider Active NPI

Stephanie Campos Barajas

  • Dental Assistant
  • Los Angeles, CA
National Provider Identifier
1609402403
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
2604 S Vermont Ave Ste F
Los Angeles, CA 90007-2298
Phone
(323) 212-5495
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X Primary

Addresses

Primary practice location

2604 S Vermont Ave Ste F
Los Angeles, CA 90007-2298

Mailing address

2604 S Vermont Ave Ste F
Los Angeles, CA 90007-2298
Phone (323) 212-5495

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scampos19@rocketmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1609402403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 S VERMONT AVE STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072298",
            "telephone_number": "323-212-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S VERMONT AVE STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072298",
            "telephone_number": "323-212-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS BARAJAS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scampos19@rocketmail.com",
            "affiliation": "N",
            "endpointDescription": "scampos19@rocketmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "scampos19@rocketmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2604 S Vermont Ave Ste F",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900072298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 12, 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.