IVON CAMPO (NPI# 1306835947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306835947 |
| Entity Type | Individual |
| Full Name | IVON CAMPO |
| Credential | M |
| Practice Address |
3055 W Orange Ave Suite 202 Anaheim CA 92804-3159 |
| Practice Telephone | 7145271262 |
| Mailing Telephone | 7145271262 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C43138 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A348130 | 05 |
| Street Address |
3055 W ORANGE AVE SUITE 202 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720330301 | John Harold Ernsberger | Internal Medicine | 3055 W Orange Ave, Anaheim, CA 92804-3159 | 2012-10-08 |
| 1891970729 | Advanced Healthcare Physicians, Inc | Internal Medicine | 3055 W Orange Ave, St. 201, Anaheim, CA 92804-3159 | 2008-01-09 |
| 1376726349 | Interstate Rehab | Physical Therapist | 3055 W Orange Ave, Suite 202, Anaheim, CA 92804-3159 | 2007-12-12 |
| 1427231505 | Strategic Healthcare Management | Internal Medicine | 3055 W Orange Ave, Suite 201, Anaheim, CA 92804-3159 | 2007-12-11 |
| 1255473815 | Aesthetic Dermatology & Laser Center Medical Group Inc | Dermatology | 3055 W Orange Ave, #207, Anaheim, CA 92804-3159 | 2007-02-12 |
| 1548302243 | Edward Mark Kramer | Dermatology | 3055 W Orange Ave, #207, Anaheim, CA 92804-3159 | 2007-02-12 |
| 1801958954 | Zohreh Javanshir | Counselor | 3055 W Orange Ave, Suite 206, Anaheim, CA 92804-3159 | 2006-12-15 |
| 1912000365 | Steele Clarke Smith | Family Medicine | 3055 W Orange Ave, Suite 205, Anaheim, CA 92804-3154 | 2006-09-07 |
| 1659487742 | James S. Pai | Pharmacy | 3055 W Orange Ave, Suite # 108, Anaheim, CA 92804-3159 | 2006-08-22 |
| 1649298084 | Sung-un Justin Park | Psychiatry & Neurology | 3055 W Orange Ave, Suite 101, Anaheim, CA 92804 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798048 | Brenda Vasquez | Specialist | 3460 E Orangethorpe Ave Ste A, Anaheim, CA 92806-1147 | 2018-01-23 |
| 1700245131 | Bartholomew Decoro | Specialist | 321 S Hillview Rd, Anaheim, CA 92804-2335 | 2016-02-13 |
| 1669844247 | Prime Practice Management LLC | Specialist | 379 S Avenida Margarita, Anaheim, CA 92807-3708 | 2015-10-22 |
| 1316355274 | Don Garcia Md Inc | Specialist | 898 S Harbor Blvd, Anaheim, CA 92805-5158 | 2014-07-23 |
| 1346680642 | Advance Mobile Medical Inc. | Specialist | 2500 E Ball Rd Ste 110, Anaheim, CA 92806-5054 | 2013-07-01 |
| 1407197718 | Anatomical Impairment Medical Group, Inc | Specialist | 2500 E. Ball Road Ste 200, Anaheim, CA 92806 | 2013-03-12 |
| 1124369715 | Orange Park Medical Group, A Professional Corp. | Specialist | 2500 E Ball Rd Ste 200, Anaheim, CA 92806 | 2013-03-07 |
| 1235404799 | Hassan D Juma Ramadhan | Specialist | 9621 Colony St, Anaheim, CA 92804-3475 | 2012-03-16 |
| 1770893182 | Prakash N Shenoy Md Inc | Specialist | 1736 W Medical Center Dr Ste A, Anaheim, CA 92801-1854 | 2010-10-19 |
| 1467782110 | Victor R Alanis | Specialist | 2569 W. Woodland Dr, Anaheim, CA 92801 | 2009-12-31 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on IVON CAMPO.
| 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.