Active NPI
Priscilla Campo
- Occupational Therapist
- San Jose, CA
National Provider Identifier
1891138517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12254
- Practice address
- 1290 Ridder Park Dr
San Jose, CA 95131-2304 - Phone
- (408) 781-2202
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12254 | CA | Primary |
Addresses
Primary practice location
1290 Ridder Park Dr
San Jose, CA 95131-2304
Mailing address
1290 Ridder Park Dr Ste 100
San Jose, CA 95131-2304
Phone (408) 453-6500
Other names 1
- Priscilla Campo
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1891138517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 RIDDER PARK DR STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312304",
"telephone_number": "408-453-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 RIDDER PARK DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312304",
"telephone_number": "408-781-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "PRISCILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRISCILLA",
"last_name": "CAMPO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.