ELBA I CAMPOS (NPI# 1760750111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760750111 |
| Entity Type | Individual |
| Full Name | ELBA I CAMPOS |
| Credential | PSY.D. |
| Practice Address |
3102 East Highland Avenue Patton CA 92369 |
| Mailing Address |
1600 9th Street Room 250 Sacramento CA 95814-6414 |
| Practice Telephone | 9094257000 |
| Mailing Telephone | 9166513154 |
| Mailing Fax Number | 9166536376 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24601 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3102 EAST HIGHLAND AVENUE |
| City | PATTON |
| State | CA |
| Zip Code | 92369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1043306202 | Jason S Thomas | Psychiatry & Neurology | 3102 East Highland Avenue, Patton State Hospital, Patton, CA 92369 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| 1689185753 | Lorenzo Valdez | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-10-17 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1619336302 | Melissa Ann Jajko | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-02-23 |
| 1598135857 | Adrianne Valda Nelson | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2015-09-30 |
| 1376974113 | Parnian M Toofanian Ross | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-12-04 |
| 1194161679 | Piyonik Hartounian | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-05-10 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1730462664 | Marla D Berry | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-27 |
| 1720361926 | Jennifer Marie Utley Buensuceso | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-23 |
| Find all providers in PATTON | ||||
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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.