Individual provider Active NPI

Ruben Betancourt Campos, BA IN PSYCHOLOGY

  • Health & Wellness Coach
  • Santa Maria, CA
National Provider Identifier
1942188388
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
DB6F86480F Issued in CA
Practice address
700 Vickie Ave
Santa Maria, CA 93454-2236
Phone
(805) 361-7753
NPI assigned
Aug 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X DB6F86480F CA Primary

Addresses

Primary practice location

700 Vickie Ave
Santa Maria, CA 93454-2236

Mailing address

909 N Broadway Apt 15
Santa Maria, CA 93454-3131
Phone (805) 406-6189

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
DB6F86480FCAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1942188388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BROADWAY APT 15",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934543131",
            "telephone_number": "805-406-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VICKIE AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934542236",
            "telephone_number": "805-361-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT CAMPOS",
        "first_name": "RUBEN",
        "credential": "BA IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "DB6F86480F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.