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LAETICIA CAMPBELL MD
NPI 1063206472
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 09, 2025PECOS Enrolled
7601 HOSPITAL DR STE 103, SACRAMENTO, CA 95823(916) 681-1600 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laeticia Campbell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAETICIA CAMPBELL MD (NPI 1063206472) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063206472
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAETICIA CAMPBELLCredential: MD
Location Address7601 HOSPITAL DR STE 103Sacramento, CA 95823-5408
Mailing Address7601 Hospital Dr Ste 103Sacramento, CA 95823-5408 · (916) 681-1600
Phone(916) 681-1600
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1063206472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7601 HOSPITAL DR STE 103, Sacramento, CA 95823
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laeticia Campbell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY KIM
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
LAURA DUONG MD
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
MS. DESIREE ROXANN ACOSTA MD
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-3456
PRANITHA PRASAD
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
DEVERY E MITCHELL MD
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
KARINA SALAZAR GOOKIN M.D.
Family Medicine
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
DR. ZAHEER ISLAM SALAM DO
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600
RACHEL ISAACS
Student in an Organized Health Care Education/Training Program
7601 HOSPITAL DR STE 103
SACRAMENTO, CA 95823
Sacramento County (916) 681-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laeticia Campbell's NPI number?

The NPI number for Laeticia Campbell is 1063206472. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Laeticia Campbell located?

Laeticia Campbell practices at 7601 Hospital Dr Ste 103, Sacramento, CA 95823. The listed phone number is (916) 681-1600.

What is Laeticia Campbell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Laeticia Campbell enrolled in Medicare?

Yes. Laeticia Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laeticia Campbell was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.