JOHN R CAMPBELL (NPI# 1619970928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619970928 |
| Entity Type | Individual |
| Full Name | JOHN R CAMPBELL |
| Credential | M.D. |
| Practice Address |
901 E St Ste 285 San Rafael CA 94901-2850 |
| Practice Telephone | 4154545565 |
| Practice Fax Number | 4154542957 |
| Mailing Telephone | 4154545565 |
| Mailing Fax Number | 4154542957 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G031914 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0015750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073993564 | John Campbell | Dentist | 4001 6th Ave, Des Moines, IA 50313-3430 | 2015-06-01 |
| 1962843250 | John Glenn Campbell | Counselor | 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 | 2013-07-15 |
| 1275972671 | John A Campbell | Pharmacist | 129 Heritage Rd, Lancaster, PA 17602-1595 | 2013-06-19 |
| 1427329770 | John David Campbell II | Obstetrics & Gynecology | 4205 Piedmont Mesa Rd, Claremont, CA 91711-2353 | 2012-01-18 |
| 1679873061 | John Campbell | Registered Nurse | 6468 Shull Rd, Huber Heights, OH 45424-1237 | 2010-11-01 |
| 1932421195 | John Clair Campbell | Pharmacist | 2734 Isha Laye Way, Toledo, OH 43606-2730 | 2010-02-15 |
| 1215268032 | John D Campbell | Physician Assistant | 2061 Experiment Station Rd Ste 505, Watkinsville, GA 30677-5328 | 2010-01-18 |
| 1326217415 | John Rexford Campbell | Specialist/Technologist, Other | 315 Howell Rd, Shavertown, PA 18708-9642 | 2008-02-22 |
| 1740470681 | John Richard Campbell | Surgery | 745 Sw Gaines St, Cdw-7, Portland, OR 97239-2901 | 2007-07-26 |
| 1558419036 | John R. Campbell | Dentist | 20 South Main Street, Fort Loramie, OH 45845-0318 | 2007-01-08 |
| Street Address |
901 E ST STE 285 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253919 | Marin Ophthalmic Consultants, A Medical Corporation | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-27 |
| 1861917841 | Deloge Anesthesia Services Inc A Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | 901 E St, San Rafael, CA 94901-2850 | 2017-08-10 |
| 1053530964 | Margaret Harrington | Anesthesiology | 901 E St, 270, San Rafael, CA 94901-2850 | 2007-04-25 |
| 1356494892 | Tanaz Mohammadi | Optometrist | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2007-01-19 |
| 1336130525 | Christian K Kim | Ophthalmology | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2005-11-04 |
| 1912996711 | Susan Jean Cunningham | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-10-14 |
| 1689679961 | Nat Jay Finkel | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-06-14 |
| 1750384061 | Dianne Lee Wong | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1053314351 | Steven Vermillion | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1114920477 | John C Shin | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1881006179 | Tara Ann Hodge | Specialist | 1475 Grand Ave., San Rafael, CA 94901 | 2014-05-21 |
| 1063654358 | Marjorie Wise King | Specialist | 33 Dunfries Ter, San Rafael, CA 94901-2415 | 2009-04-01 |
| 1689890345 | Jaquelin N Pearson | Specialist | 13 Oakcrest Dr, San Rafael, CA 94903-2842 | 2007-04-18 |
| 1104971928 | Jerome Phillip Mednick | Specialist | 7 Locksly Ln, San Rafael, CA 94901-2426 | 2007-01-24 |
| 1700962685 | Michael S Taekman | Specialist | 15 Oakmont Ct, San Rafael, CA 94901-1235 | 2006-10-31 |
| 1023116290 | Leslie Dawn Scott | Specialist | 161 Mitchell Blvd Ste 101, San Rafael, CA 94903-2068 | 2006-09-20 |
| 1477566099 | Caroline Bourcier | Specialist | 9 La Loma Ct, San Rafael, CA 94901-5147 | 2006-08-14 |
| 1417921339 | Jesse J Mazza | Specialist | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2006-02-15 |
| 1447253919 | Marin Ophthalmic Consultants, A Medical Corporation | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-27 |
| 1992208136 | Yelena Pomazan | Specialist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-03-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on JOHN R CAMPBELL.
| 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.