Healthcare Provider Details

I. General information

NPI: 1992012322
Provider Name (Legal Business Name): PATRICIA DEL ROSARIO CAMPOS-BARCENAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 WOODSIDE LN E UNIT 10
SACRAMENTO CA
95825-4320
US

IV. Provider business mailing address

PO BOX 660442
SACRAMENTO CA
95866-0442
US

V. Phone/Fax

Practice location:
  • Phone: 510-229-7567
  • Fax:
Mailing address:
  • Phone: 510-229-7567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number105153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: