Active NPI
Todd Russell Campo Jr., AMFT
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1821794579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT137580
- Practice address
- 401 W Civic Center Dr
Santa Ana, CA 92701-4515 - Phone
- (714) 883-4483
- NPI assigned
- Feb 3, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT137580 | CA | Primary |
Addresses
Primary practice location
401 W Civic Center Dr
Santa Ana, CA 92701-4515
Mailing address
PO Box 9835
Fountain Valley, CA 92728-9835
Phone (714) 883-4483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT137580 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1821794579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9835",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927289835",
"telephone_number": "714-883-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W CIVIC CENTER DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014515",
"telephone_number": "714-883-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "TODD",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-03",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT137580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.