SAMUEL CAMPBELL JR. (NPI# 1073128492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073128492 |
| Entity Type | Individual |
| Full Name | SAMUEL CAMPBELL JR. |
| Practice Address |
4200 Crescent Rock Ln Bakersfield CA 93311-2860 |
| Mailing Address |
9556 Langdon Ave North Hills CA 91343-2103 |
| Practice Telephone | 3109300199 |
| Practice Fax Number | 8184751914 |
| Mailing Telephone | 3109300199 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 157806092 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858701 | Samuel Campbell Jr. | Dentist | 8240 Naab Zal, Ste 355, Indeanapolis, IN 46260 | 2006-02-03 |
| 1588942254 | Samuel Campbell | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2011-07-29 |
| 1053567701 | Samuel A Campbell | Marriage & Family Therapist | 649 E Albertoni St, Carson, CA 90746-1538 | 2008-08-13 |
| 1538376678 | Samuel Jacob Campbell | Obstetrics & Gynecology | 10710 Midlothian Tpke, Suite 200, Richmond, VA 23235-4722 | 2007-05-17 |
| 1528033446 | Samuel J. Campbell | Surgery | 3601 4th St, Lubbock, TX 79430-8312 | 2006-02-22 |
| Street Address |
4200 CRESCENT ROCK LN |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437640372 | Murphy's Boys Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 3509 Eisenhower Ave, Bakersfield, CA 93309-6102 | 2018-05-26 |
| 1699271320 | Youth Quest Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5500 Ramona Ct, Bakersfield, CA 93304-7203 | 2018-04-02 |
| 1558866822 | Cameron Youth Home Facilities, Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 11907 Sturgeon Creek Dr, Bakersfield, CA 93311-9261 | 2018-03-28 |
| 1629571104 | Daughter Project Girls Home | Residential Treatment Facility, Emotionally Disturbed Children | 3535 Union Ave, Bakersfield, CA 93305-2937 | 2018-03-12 |
| 1528560216 | First Step | Residential Treatment Facility, Emotionally Disturbed Children | 6024 Friant Dr, Bakersfield, CA 93309-1914 | 2018-03-08 |
| 1205337706 | Unicorn Garden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1216 Sandra Dr, Bakersfield, CA 93304-6143 | 2018-02-21 |
| 1497256994 | Unicorn Garden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Meredith Dr, Bakersfield, CA 93304-6123 | 2018-02-21 |
| 1548768732 | Unicorn Garden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3817 Edith Ln, Bakersfield, CA 93304-6703 | 2018-01-23 |
| 1053827931 | Cameron Youth Home Facilities, Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 12010 Roaring River Ave, Bakersfield, CA 93311-9308 | 2017-12-14 |
| 1649715012 | Helping Hands Youth Facility, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 9718 Battersea Park Dr, Bakersfield, CA 93312-5624 | 2016-12-21 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.