Individual provider Active NPI

Joanna C O'Campo, PA-C

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1750655288
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5109 Issued in AZ
Practice address
2140 W 24TH St Ste a
Yuma, AZ 85364-8877
Phone
(928) 408-7400
Fax
(928) 408-7401
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5109 AZ Primary

Addresses

Primary practice location

2140 W 24TH St Ste a
Yuma, AZ 85364-8877

Mailing address

2140 W 24TH St Ste a
Yuma, AZ 85364-8877
Phone (928) 408-7400

Other identifiers 2

IdentifierTypeStateIssuer
Z153406OtherAZMEDICARE PTAN
680423MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000646 AZ Practitioner - Physician Assistant 8820252331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ocean Ventures PLLCGroup PAC ID 7113455916, 2 clinicians

Practice addresses (Care Compare)

2140 W 24TH St
Suite a
Yuma, AZ 85364-8877
Phone (928) 975-3373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5109AZMDSpecialist

Interoperability endpoints

  • Direct secure messaging: joanna.ocampo.1@11823.direct.athenahealth.com

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1750655288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 24TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648877",
            "telephone_number": "928-408-7400",
            "fax_number": "928-408-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 24TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648877",
            "telephone_number": "928-408-7400",
            "fax_number": "928-408-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CAMPO",
        "first_name": "JOANNA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z153406",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.