Individual provider Active NPI

Robin M Campos, NP-C

  • Family Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1891928651
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22222 Issued in CA
Practice address
3659 Round Barn Circle
Santa Rosa, CA 95403-5781
Phone
(707) 303-3600
Fax
(707) 303-3088
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336037-1 NY
Family Nurse Practitioner 363LF0000X 22222 CA Primary

Addresses

Primary practice location

3659 Round Barn Circle
Santa Rosa, CA 95403-5781

Mailing address

3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205002411 OR Practitioner - Nurse Practitioner 3274672563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sylvia Seroussi Chatroux MD PCGroup PAC ID 4688683352, 5 clinicians

Practice addresses (Care Compare)

400 W Hersey St
Suite 1
Ashland, OR 97520-1854
Phone (541) 482-7047

Hospital & facility affiliations

  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22222CAMDPhysical Therapist
F336037-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince May 12, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 1, 2016 Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 1, 2016 Accepting new patients
Sylvia Seroussi Chatroux MD PC CurrentSince Sep 1, 2022 Accepting new patients
Ses Operating Corp Past Accepting new patients

Locations

400 W Hersey St
Ste 1
Ashland, OR 97520
Phone (541) 482-7047

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1891928651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035781",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 ROUND BARN CIRCLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035781",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "ROBIN",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336037-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.