Individual provider Active NPI

Victor Campos

  • Home Modifications Contractor
  • El Paso, TX
National Provider Identifier
1649543984
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
11889 Imperial Gem Ave
El Paso, TX 79936-0297
Phone
(915) 549-2486
Fax
(915) 849-5832
NPI assigned
Feb 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X TX Primary

Addresses

Primary practice location

11889 Imperial Gem Ave
El Paso, TX 79936-0297

Mailing address

11889 Imperial Gem Ave
El Paso, TX 79936-0297
Phone (915) 549-2486

Other names 1

  • Campos Construction VC Professional name

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": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1649543984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11889 IMPERIAL GEM AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360297",
            "telephone_number": "915-549-2486",
            "fax_number": "915-849-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11889 IMPERIAL GEM AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360297",
            "telephone_number": "915-549-2486",
            "fax_number": "915-849-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMPOS CONSTRUCTION",
            "last_name": "VC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.