Angelika Tapia Champagne

Individual provider Active NPI Community Health Worker · Rio Linda, CA

NPI 1003517855 · NPPES record last updated Sep 10, 2024

Key facts

NPI
1003517855
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
505 M St
Rio Linda, CA 95673-2218
Phone
(916) 287-4067
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento Past
since Mar 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

505 M St
Rio Linda, CA 95673-2218

Mailing address

505 M St
Rio Linda, CA 95673-2218

Other practice location 1

7415 Henrietta Dr
Sacramento, CA 95822-5142
Phone (916) 520-7399

Other practice location 2

3440 Viking Dr
Sacramento, CA 95827-2844
Phone (916) 262-8598

Other providers in Rio Linda, CA

All providers in Rio Linda, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.