Individual provider Active NPI

Adrian Campo, MD

  • Specialist
  • Murrieta, CA
National Provider Identifier
1942318696
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A90845 Issued in CA
Practice address
26907 Lemon Grass Way
Murrieta, CA 92562-4490
Phone
(951) 698-8463
NPI assigned
Aug 25, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X A90845 CA
Specialist 174400000X A90845 CA Primary

Addresses

Primary practice location

26907 Lemon Grass Way
Murrieta, CA 92562-4490

Mailing address

26907 Lemon Grass Way
Murrieta, CA 92562-4490
Phone (951) 698-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000521 CA Practitioner - Internal Medicine 0244212264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Hospitalist Group IncGroup PAC ID 9537481908, 9 clinicians

Practice addresses (Care Compare)

25500 Medical Ctr Dr
Murrieta, CA 92562-5965
Phone (951) 696-6000

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (951) 290-4000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Hospitalist Group, Inc. CurrentSince Sep 9, 2014 Accepting new patients
Healthcare Crossing Corporation Past Accepting new patients

Locations

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Interoperability endpoints

  • Direct secure messaging: acampo181855@direct.llu.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1942318696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26907 LEMON GRASS WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624490",
            "telephone_number": "951-698-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26907 LEMON GRASS WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624490",
            "telephone_number": "951-698-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A90845",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A90845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.