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

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: August 02, 2026.

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

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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Student in an Organized Health Care Education/Training Program
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Social Worker (Clinical)
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Marriage & Family Therapist
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758

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 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.

Where is Marc Campos-pantoja located?

Marc Campos-pantoja practices at 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758. The listed phone number is (916) 226-2812.

What is Marc Campos-pantoja's specialty?

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

Is Marc Campos-pantoja enrolled in Medicare?

Yes. Marc Campos-pantoja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marc Campos-pantoja accept?

Health plans from Providence Health Plan list Marc Campos-pantoja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Campos-pantoja was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.