Individual provider Active NPI

Paul F. Campion, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1902895097
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G56193 Issued in CA
Practice address
655 Montgomery St Ste 1440
San Francisco, CA 94111
Phone
(415) 525-3527
Fax
(415) 874-9653
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G56193 CA Primary

Addresses

Primary practice location

655 Montgomery St Ste 1440
San Francisco, CA 94111

Mailing address

655 Montgomery St Ste 1440
San Francisco, CA 94111-2631
Phone (415) 525-3527

Other practice location 1

1383 North Mc Dowell Boulevard
Suite 100
Petaluma, CA 94954-1114
Phone (707) 763-6400

Other identifiers 1

IdentifierTypeStateIssuer
680201346OtherCATAX ID

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56193CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1902895097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 1440",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112631",
            "telephone_number": "415-525-3527",
            "fax_number": "415-874-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTGOMERY ST STE 1440",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-525-3527",
            "fax_number": "415-874-9653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1383 North Mc Dowell Boulevard",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949541114",
            "country_code": "US",
            "telephone_number": "707-763-6400",
            "fax_number": "707-763-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "PAUL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680201346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.