Active NPI
Gregory S Campbell, M.D.
- Surgery Physician
- Escondido, CA
National Provider Identifier
1811008147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G74980
- Practice address
- 215 S Hickory St
Ste 112
Escondido, CA 92025-4360 - Phone
- (760) 740-6944
- Fax
- (760) 740-9619
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G74980 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | G74980 | CA | |
| Trauma Surgery Physician | 2086S0127X | G74980 | CA |
Addresses
Primary practice location
215 S Hickory St
Ste 112
Escondido, CA 92025-4360
Mailing address
2067 Wineridge PL
Suite a
Escondido, CA 92029-1952
Phone (760) 740-6944
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
838 Nordahl Rd
Suite 270
San Marcos, CA 92069-3596
Phone (760) 489-5955
Hospital & facility affiliations
- Palomar Health Downtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1309 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- northcountytraumaassociates.gregorycampbell@158576.advancedmd-direct.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.
-
- Surgery Physician
- Escondido, CA
- NPI 1467563791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1811008147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2067 WINERIDGE PL",
"address_2": "SUITE A",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920291952",
"telephone_number": "760-740-6944",
"fax_number": "760-740-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S HICKORY ST",
"address_2": "STE 112",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254360",
"telephone_number": "760-740-6944",
"fax_number": "760-740-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "GREGORY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G74980",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "G74980",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "G74980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.