Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Campbell Jr.

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1073128492

Samuel Campbell Jr. is an Emotionally Disturbed Childrens' Residential Treatment Facility in Bakersfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

4200 Crescent Rock Ln
Bakersfield, CA 93311-2860
Phone: (310) 930-0199
Fax: (818) 475-1914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 157806092 (CA)

Record details

NPI number1073128492
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

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