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

Individual provider Physician Assistant · NPI 1376053728

Nicholas Ryan Campbell, PA-C is a Physician Assistant in Van Nuys, California. Qualified in 2017, 9 years ago. Practices with Regents of the University of California, a 136-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone: (818) 901-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2221 Wankel Way, Oxnard, CA 93030-0192 — (805) 988-9366
  • 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3101 — (805) 641-6415

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55595 (CA)

Record details

NPI number1376053728
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESMarch 7, 2023
Certification dateJuly 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Regents Of The University Of California — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Van Nuys