Active NPI
Christina Camara, P.A.
- Medical Physician Assistant
- Springfield, MA
National Provider Identifier
1144204298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1178
- Practice address
- 3550 Main St Ste 101
Springfield, MA 01107-1078 - Phone
- (413) 858-7400
- Fax
- (413) 746-0380
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1178 | MA | Primary |
Addresses
Primary practice location
3550 Main St Ste 101
Springfield, MA 01107-1078
Mailing address
3550 Main St Ste 101
Springfield, MA 01107-1078
Phone (413) 858-7400
Other names 1
- Ms. Christina Van Dalsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Northampton St
Boston, MA 02118-4098
Phone (617) 433-9601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston'S Community Medical Group, Inc. | Current | Accepting new patients | |
| Commonwealth Clinical Alliance, Inc | Current | Accepting new patients |
Locations
30 Northampton St
Roxbury, MA 02118
Phone (617) 433-9601
3550 Main St
Ste 101
Springfield, MA 01107
Phone (413) 739-0669
Interoperability endpoints
- christina.camara@ccalliance.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Boston, MA
- NPI 1235174418
-
- Case Manager/Care Coordinator
- Boston, MA
- NPI 1679605091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1144204298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MAIN ST STE 101",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071078",
"telephone_number": "413-858-7400",
"fax_number": "413-746-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MAIN ST STE 101",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071078",
"telephone_number": "413-858-7400",
"fax_number": "413-746-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARA",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "1178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "VAN DALSEN",
"prefix": "MS.",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.