Jose Omar Campos Lopez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1301 N Palm Canyon Dr
Palm Springs, CA 92262-4405

Phone

(760) 281-2616

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1902510738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624405",
            "telephone_number": "760-281-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624405",
            "telephone_number": "760-281-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS LOPEZ",
        "first_name": "JOSE",
        "middle_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://thecentercv.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://thecentercv.org/",
            "address_1": "1301 N Palm Canyon Dr",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922624405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elber S Camacho, MD
• Leslie J Cameron, CADC-CAS
• Luz Campas, ACSW
• Jared Scott Campbell, RD
• Susan Eliane Campbell
• Phillip Campos, DO
• Sarah Leah Campos
• Claire Itchon Camua, NP-C
• George Salonga Camua
• Jill Canada

• Community Health Worker in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.