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CARLA PATRICIA CAMPO DDS
NPI 1609012830
Dentist in Lake Elsinore, CA

Active since December 17, 2008PECOS Enrolled
30195 FRASER DR, LAKE ELSINORE, CA 92530(951) 252-2720 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carla Patricia Campo Dds NPPES

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

CARLA PATRICIA CAMPO DDS (NPI 1609012830) is an individual dentist in Lake Elsinore, California, licensed in California (57000) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609012830
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCARLA PATRICIA CAMPOCredential: DDS
Location Address30195 FRASER DRLake Elsinore, CA 92530-7006
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000 · Fax (760) 414-3702
Phone(951) 252-2720
Sole ProprietorNo
Enumeration DateDecember 17, 2008
Last NPPES UpdateMarch 21, 2019
✔ NPI 1609012830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 57000
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
30195 FRASER DR, Lake Elsinore, CA 92530
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Other Identifiers 1

Medicaid1871689315CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Patricia Campo Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 8

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

ASHLY ANN VILLARREAL
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (760) 631-5000
DR. HYONG JOON KIM
Dentist (General Practice)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
IMELDA GUTIERREZ-HUNT LCSW
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
DR. CESAR AUGUSTO MAVILA D.C.
Chiropractor
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (844) 308-5003
VISTA COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (760) 631-5000
MS. GAIL ANN MC CABE LCSW
Social Worker (Clinical)
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
DR. CLINT KETCHEL M.D.
Family Medicine
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720
MRS. OLIVIA DEL VALLE RDH
Dental Hygienist
30195 FRASER DR
LAKE ELSINORE, CA 92530
Riverside County (951) 252-2720

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 Carla Campo's NPI number?

The NPI number for Carla Campo is 1609012830. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Carla Campo located?

Carla Campo practices at 30195 Fraser Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 252-2720.

What is Carla Campo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Carla Campo enrolled in Medicare?

Yes. Carla Campo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carla Campo was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.