SAMUEL CAMPBELL NPI 1073128492

NPI Information

  • NPI: 1073128492
  • Provider Name: SAMUEL CAMPBELL
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Individual
  • Address: 4200 CRESCENT ROCK LN
    BAKERSFIELD, CA
    ZIP 93311
  • Phone: (310) 930-0199

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NPI Details

Samuel Campbell is a residential treatment facility emotionally disturbed children in Bakersfield, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Samuel Campbell NPI is 1073128492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 CRESCENT ROCK LN
BAKERSFIELD, CA
ZIP 93311-860
Phone: (310) 930-0199
Fax: (818) 475-1914

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children157806092CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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