Active NPI
Victor Manuel Campos, FNP
- Nurse Practitioner
- Upland, CA
National Provider Identifier
1710034350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13368
- Practice address
- 360 E 7TH St Ste H
Upland, CA 91786-6701 - Phone
- (909) 985-8031
- NPI assigned
- Jan 5, 2007
- Last updated
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13368 | CA | Primary |
Addresses
Primary practice location
360 E 7TH St Ste H
Upland, CA 91786-6701
Mailing address
9723 Feron Blvd
Rancho Cucamonga, CA 91730-5216
Phone (909) 346-5757
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13368 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Medica Centro Hispano Inc | Current | Accepting new patients | |
| Clinica Medica Centro Laser Hispano Inc. | Past | Accepting new patients |
Locations
1341 E 4th St
Ste B
Ontario, CA 91764
Phone (909) 467-0303
360 E 7th St
Ste H
Upland, CA 91786
Phone (909) 985-1557
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Upland, CA
- NPI 1730360579
-
- General Practice Physician
- Ontario, CA
- NPI 1174658322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1710034350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9723 FERON BLVD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305216",
"telephone_number": "909-346-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E 7TH ST STE H",
"city": "UPLAND",
"state": "CA",
"postal_code": "917866701",
"telephone_number": "909-985-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "13368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.