Organization Active NPI

Ronald G Campos, MD Inc

  • Internal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1831497437
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G00034573 Issued in CA
Legal business name
RONALD G CAMPOS, MD INC
Practice address
1844 San Miguel Dr Ste 307
Walnut Creek, CA 94596-4963
Phone
(925) 943-1333
Fax
(925) 933-1822
NPI assigned
Mar 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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

Authorized official

Name
Jeffrey Tover
Title
Manager
Phone
(925) 943-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G00034573 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr Ste 307
Walnut Creek, CA 94596-4963

Mailing address

1844 San Miguel Dr Ste 307
Walnut Creek, CA 94596-4963
Phone (925) 943-1333

Other identifiers 1

IdentifierTypeStateIssuer
G345730MedicaidCA

National Provider Directory

National Provider Directory

Locations

1844 San Miguel Dr
Ste 307
Walnut Creek, CA 94596
Phone (510) 943-1391

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299283200000",
    "number": "1831497437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 307",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964963",
            "telephone_number": "925-943-1333",
            "fax_number": "925-933-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 307",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964963",
            "telephone_number": "925-943-1333",
            "fax_number": "925-933-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G CAMPOS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-03-05",
        "status": "A",
        "authorized_official_last_name": "TOVER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-943-1333"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G00034573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G345730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.