William R Campbell DO Prof Corp

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

20A9718 Issued in CA

Legal business name

WILLIAM R CAMPBELL DO PROF CORP

Practice address

1 Daniel Burnham CT Ste 365C
San Francisco, CA 94109-5490

Phone

(415) 353-6400

Fax

(415) 353-6401

NPI assigned

Mar 12, 2014

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Robert Campbell, DO

Title

Owner / Provider

Phone

(415) 491-1210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1851717938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EQUESTRIAN CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452600",
            "telephone_number": "415-609-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 365C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095490",
            "telephone_number": "415-353-6400",
            "fax_number": "415-353-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R CAMPBELL DO PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "415-491-1210",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.