Active NPI
Oscar Orlando Campuzano Jr., PA-C
- Physician Assistant
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8774
- Practice address
- 1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624 - Phone
- (480) 543-6700
- Fax
- (480) 543-6725
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8774 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Mailing address
1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
1400 S Dobson Rd
Banner Health Clinic
Mesa, AZ 85202-4707
Phone (480) 412-3000
1920 N Higley Rd
Suite 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700
6644 E Baywood Ave
Banner Health Clinic
Mesa, AZ 85206-1747
Phone (480) 321-2000
9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120
Hospital & facility affiliations
- Banner Baywood Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8774 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients |
Locations
1125 S Alma School Rd
Ste 210
Chandler, AZ 85286
Phone (480) 256-4900
1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
500 W Thomas Rd
Ste 100
Phoenix, AZ 85013
Phone (602) 406-1115
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
File 56765
Los Angeles, CA 90074
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1629663133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N HIGLEY RD STE 206",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341624",
"telephone_number": "480-543-6700",
"fax_number": "480-543-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 N HIGLEY RD STE 206",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341624",
"telephone_number": "480-543-6700",
"fax_number": "480-543-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPUZANO",
"first_name": "OSCAR",
"middle_name": "ORLANDO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8774",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.