GOSPHA G CAMPBELL MD INC
NPI 1972861011
Clinic/Center - Urgent Care in San Bernardino, CA
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2274250
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-28-2026
About GOSPHA G CAMPBELL MD INC
This page provides the complete NPI Profile along with additional information for Gospha G Campbell Md Inc, a provider established in San Bernardino, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1972861011 assigned on April 2012. The practitioner's primary taxonomy code is 261QU0200X with license number FNP 42352 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Gospha G Campbell Md Inc. The authorized official of this NPI record is Dr. Gospha Gordon Campbell M.d. (Ceo)
- NPI
- 1972861011 Verify this NPI
- Provider Legal Name
- URGENT FAMILY CARE INC
- Other Organization Name
- GOSPHA G CAMPBELL MD INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1850 S WATERMAN AVE SUITE F SAN BERNARDINO, CA 92408
- Location Phone
- (909) 890-9393
- Location Fax
- (909) 890-9394
- Mailing Address
- 1850 S WATERMAN AVE SUITE F SAN BERNARDINO, CA 92408
- Mailing Phone
- (909) 890-9393
- Mailing Fax
- (909) 890-9394
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-26-2012
- Last Update Date
- 04-26-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- FNP 42352
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306012935 | MEDICARE PIN (08) | CA | |
| 1215182803 | MEDICARE PIN (08) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2274250
- Facility Type
- Physician Office
- Certificate Effective Date
- December 29, 2024
- Certificate Expiration Date
- December 28, 2026
- Laboratory Director
- GOSPHA G. CAMPBELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gospha G Campbell Md Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GOSPHA G CAMPBELL MD INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972861011, enumerated as an "organization" on April 26, 2012.
The provider is located at 1850 S WATERMAN AVE SUITE F SAN BERNARDINO, CA 92408 and the phone number is (909) 890-9393.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
