Joseph Evan Camphor, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

683776 Issued in CA

Practice address

1271 Washing Avenue
Unit 669
San Leandro, CA 94577

Phone

(770) 355-9873

NPI assigned

Oct 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1639573785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE #669",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "770-757-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 WASHING AVENUE",
            "address_2": "UNIT 669",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "770-355-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPHOR",
        "first_name": "JOSEPH",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "683776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Camorongan
• Bailey D. Campbell
• Kendra Rose Marie Campbell
• Laura Campbell
• Cristiane Campelo-Hess, NP
• Miriam Campion, MSW
• Joaquin Campos
• Jonathan Campos
• Krystal Soriel Campos
• Mireya Campos

• Critical Care Medicine Registered Nurse in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.