DR. MARC ANTHONY CAMPOS-PANTOJA LCSW, PSYD
NPI 1487715785
Psychologist - Clinical in Elk Grove, CA

Q: What is Marc Campos-pantoja's NPI number?

The NPI number for Marc Campos-pantoja is 1487715785. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Mr. Marc Anthony Campos-Ramos.

Q: What is Marc Campos-pantoja's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment

9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758(916) 226-2812 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2023, Feb 24, 2023 (2 updates tracked since 2023).

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About Dr. Marc Anthony Campos-pantoja Lcsw, Psyd NPPES

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

DR. MARC ANTHONY CAMPOS-PANTOJA LCSW, PSYD (NPI 1487715785) is an individual clinical provider in Elk Grove, California, licensed in California (94028409) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487715785

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARC ANTHONY CAMPOS-PANTOJACredential: LCSW, PSYD

Location Address9412 BIG HORN BLVD STE 6Elk Grove, CA 95758-1101

Mailing Address22539 2nd StHayward, CA 94541-4111 · (510) 886-2485

Phone(916) 226-2812

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1487715785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 94028409

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ASW 14648 (CA), 25797 (CA)

9412 BIG HORN BLVD STE 6, Elk Grove, CA 95758

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Other Names 1

Former Name (1)Mr. Marc Anthony Campos-ramos

Secondary Practice Locations 2

Location 15271 W Palo Alto AveFresno, CA 93722-3635 · Phone (559) 276-2331

Location 264 E Weldon AveFresno, CA 93704-5956 · Phone (559) 276-2331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc Anthony Campos-pantoja Lcsw, Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355489907

PECOS Enrollment IDI20091119000111

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.

Medicare Billing Reassignments

Medicare enrollment records show Marc Campos-pantoja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forward Wellness Family Therapy, Inc.

370 mi

Community/Behavioral Health

1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870

Reassigned Medicare billing, California enrollment
150 clinicians in this Medicare group

NPI 1093398059 (800) 701-0937

Cyti Health PC

460 mi

Mental Health (Including Community Mental Health Center)

402 W BROADWAY STE 400
San Diego, CA 92101

Reassigned Medicare billing, California enrollment
545 clinicians in this Medicare group

NPI 1679172290 (866) 478-3978

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MONTERYA WALKER

Social Worker