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Andre Renay Campbell

Surgeon Internist Surgical Critical Care

1001 Potrero Ave Rm 3a37
San Francisco , California 94110-3518

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Andre Renay Campbell

Surgeon Internist Surgical Critical Care

1001 Potrero Ave Rm 3a37
San Francisco , California 94110-3518

(415) 206-3872

Write a Review Save Call

Andre Renay Campbell

Surgeon Internist Surgical Critical Care

1001 Potrero Ave Rm 3a37
San Francisco , California 94110-3518

(415) 206-3872 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Surgeon
  • Surgical Critical Care

Languages spoken

  • English

Location

1001 Potrero Ave Rm 3a37 San Francisco , California 94110-3518

First Address

  • Andre Renay Campbell
  • Po Box 7464
  • San Francisco, CA
  • Zip : 94120-7464
  • Fax : (415) 206-3872
  • Phone : (415) 206-3103

Second Address

  • Andre Renay Campbell
  • 1001 Potrero Ave Rm 3a37
  • San Francisco, CA
  • Zip : 94110-3518
  • Fax : (415) 206-5484
  • Phone : (415) 206-4634

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FAQs


Where did Andre Renay Campbell attend graduate school?

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Where did Andre Renay Campbell do his residency?

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Where did Andre Renay Campbell do his fellowship?

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Is Andre Renay Campbell board certified?

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In what state does Andre Renay Campbell practice in?

California

Where is Andre Renay Campbell ’s practice located?

1001 Potrero Ave Rm 3a37 , San Francisco, California, 94110-3518

What is Andre Renay Campbell ’s gender?

Male

Is Andre Renay Campbell a sole practitioner?

No

Is Andre Renay Campbell accepting new patients?

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What languages does Andre Renay Campbell speak?

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Does Andre Renay Campbell accept insurance?

Yes, Andre Renay Campbell accepts insurance

Does Andre Renay Campbell offers telemedicine?

Andre Renay Campbell has not indicated if he offers telemedicine

What is Andre Renay Campbell ’s professional license number?

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What is Andre Renay Campbell ’s NPI number?

1306891064

Does Andre Renay Campbell have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist G77365 CA
N 111NI0900X Internist G77365 CA
N 208200000X Surgeon G77365 CA
N 208600000X Surgeon G77365 CA
N 2086S0102X Surgical Critical Care G77365 CA

National Provider Identifier

NPI 1306891064
Provider Name Andre Renay Campbell
First Address San Francisco, CA 94120-7464
Second Address San Francisco, CA 94110-3518
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/05/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00G773650 (05) CA
F67085 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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