GOSPHA G, CAMPBELL MD INC
NPI 1215182803
Family Medicine - Adult Medicine in San Bernardino, CA

Q: What is Gospha G, Campbell MD Inc's NPI number?

The NPI number for Gospha G, Campbell MD Inc is 1215182803. It was assigned to this organization in the NPPES registry on November 24, 2008.

Q: What is Gospha G, Campbell MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since November 24, 2008

1850 S WATERMAN AVE # F, SAN BERNARDINO, CA 92408(909) 890-9393(909) 890-9394 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Gospha G, Campbell Md Inc NPPES

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

GOSPHA G, CAMPBELL MD INC (NPI 1215182803) is a healthcare organization registered as an adult medicine in San Bernardino, California and active in the NPI registry since November 2008. The organization lists Gospha G Campbell, Physician, as its authorized official.

NPPES Registry Identity

NPI1215182803

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameGOSPHA G, CAMPBELL MD INC

Location Address1850 S WATERMAN AVE # FSan Bernardino, CA 92408-2877

Mailing Address1850 S Waterman Ave, # FSan Bernardino, CA 92408-2464 · (909) 890-9393 · Fax (909) 890-9394

Phone(909) 890-9393

Fax(909) 890-9394

Organization SubpartNo

Authorized OfficialGospha G CampbellPhysician · (909) 890-9393

Enumeration DateNovember 24, 2008

Last NPPES UpdateFebruary 15, 2012

✔ NPI 1215182803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · A 102029

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1850 S WATERMAN AVE # F, San Bernardino, CA 92408

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20090812000892Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gospha G, Campbell MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gospha Campbell, M.D.

Family Practice

NPI 1306012935

1850 S WATERMAN AVE, # F
San Bernardino, CA 92408

(909) 890-9393

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gospha G, Campbell MD Inc's NPI number?

The NPI number for Gospha G, Campbell MD Inc is 1215182803. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Gospha G, Campbell MD Inc located?

Gospha G, Campbell MD Inc is located at 1850 S Waterman Ave # F, San Bernardino, CA 92408. The listed phone number is (909) 890-9393.

What is Gospha G, Campbell MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Gospha G, Campbell MD Inc enrolled in Medicare?

Yes. Gospha G, Campbell MD Inc is registered in the Medicare PECOS enrollment system.

When is Gospha G, Campbell MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gospha G, Campbell MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gospha G, Campbell MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gospha G, Campbell MD Inc was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.