DR. BLANCA SAMIRA CAMPOS (MD) – Family Medicine Physician, NPI 1104086867
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. BLANCA SAMIRA CAMPOS (MD)
3390 UNIVERSITY AVE STE 100
RIVERSIDE, CA 925013315
Phone: (844) 827-8000
Type: Mailing
200, East Anaheim Street, Wilmington, Los Angeles, Los Angeles County, California, 90744, United States
WILMINGTON, CA 907444516
Phone: (310) 522-8700
Fax: (310) 549-4546
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111214000811 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 168 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 51 | 51 | $0 |
| G0008 | Administration of influenza virus vaccine | 30 | 30 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 27 | 27 | $0 |
Insurance plans in this area (ZIP 92501)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Internal Medicine | CA | |
| Clinical Social Worker | CA | |
| Internal Medicine | IL | |
| - | CA | |
| - | CA | |
| P S Y C H I A T R Y | TN | |
| Family Practice | CA | |
| - | TX | |
| P S Y C H I A T R Y | CA |
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