Active NPI
Mary Allen Campos, RPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1912442328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43108
- Practice address
- 14086 Caminata Amador
San Diego, CA 92129-2067 - Phone
- (858) 405-6229
- NPI assigned
- Dec 21, 2016
- Last updated
- Dec 21, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43108 | CA | Primary |
Addresses
Primary practice location
14086 Caminata Amador
San Diego, CA 92129-2067
Mailing address
14086 Caminata Amador
San Diego, CA 92129-2067
Phone (858) 405-6229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43108 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1912442328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14086 CAMINATA AMADOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292067",
"telephone_number": "858-405-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14086 CAMINATA AMADOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292067",
"telephone_number": "858-405-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "MARY ALLEN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.