Individual provider Active NPI

Lauren E Campagna, PA-C

  • Medical Physician Assistant
  • Palo Alto, CA
National Provider Identifier
1679946040
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
52878 Issued in CA
Practice address
530 Lytton Ave FL 2
Palo Alto, CA 94301-1541
Phone
(415) 663-5584
NPI assigned
Nov 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 52878 CA Primary

Addresses

Primary practice location

530 Lytton Ave FL 2
Palo Alto, CA 94301-1541

Mailing address

4020 Everts St
San Diego, CA 92109-5221
Phone (585) 217-6382

Other practice location 1

9850 Genesee Ave
suite 320
LA Jolla, CA 92037-1224
Phone (858) 554-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206000190 CA Practitioner - Physician Assistant 4880982883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1679946040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 EVERTS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095221",
            "telephone_number": "585-217-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LYTTON AVE FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011541",
            "telephone_number": "415-663-5584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave",
            "address_2": "suite 320",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371224",
            "country_code": "US",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-07",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.