Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Lemoyne Campos, PA-C

Individual provider Physician Assistant · NPI 1740538891

Michelle Lemoyne Campos, PA-C is a Physician Assistant in Santa Rosa, California. Qualified in 2012, 14 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

401 Bicentennial Way Ste 120 MOB1
Santa Rosa, CA 95403-2149
Phone: (916) 812-3104
Fax: (707) 573-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1580 Creekside Dr Ste 230, Folsom, CA 95630-3888 — (916) 984-6230
  • 3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678 — (707) 521-4495

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 22420

Record details

NPI number1740538891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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