Look up the most recent NPI and PECOS records

Leonie Campbell

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

PECOS Enrollment

Based on the most recent information from CMS, provider Leonie Campbell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1134754096
Provider Type
Individual
Full Name
Campbell, Leonie
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2020
Last Updated
8/11/2025

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Mailing Location

4226 Via Mar De Delfinas, San Diego, CA 92130-2672

(310) 487-1785

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License M-16050 Idaho
Code 171000000X	Description Military Health Care Provider Other Service Providers	License M-16050 Idaho
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License M-16050 Idaho

Provider Identifiers

ID	Description	Issuer
ID M-16050	Description Other	Issuer IDAHO MEDICAL LICENSE Idaho

Leonie Campbell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mchugh, Shawn Michael

Richardson, Karen

Dukate, Loren Robert

Schlager, Samuel Harrison

Lam, Alison C

Payton, John Andrew

Sun, Shiwei

Mostofian, Eimaneh

Durrua, Kelle

Kaplan, Lisa