Individual provider Active NPI

Christopher Joseph Campagna, DC

  • Rehabilitation Chiropractor
  • Fortuna, CA
National Provider Identifier
1265636336
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC34488 Issued in CA
Practice address
739 S Fortuna Blvd
Fortuna, CA 95540-3034
Phone
(707) 682-6155
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CHIR007533 GA
Rehabilitation Chiropractor 111NR0400X DC34488 CA Primary

Addresses

Primary practice location

739 S Fortuna Blvd
Fortuna, CA 95540-3034

Mailing address

739 S Fortuna Blvd
Fortuna, CA 95540-3034
Phone (707) 682-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000757 CA Practitioner - Chiropractic 9234297979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

739 S Fortuna Blvd
Fortuna, CA 95540-3034
Phone (707) 682-6155

Merit-based Incentive Payment System (MIPS)

Final score
25.54 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC34488CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fortuna Chiropractic LLC CurrentSince Jun 22, 2020 Accepting new patients
Integrated Health Services Rehabilitation PastSince Sep 17, 2008 Accepting new patients
Integrated Health Solutions of Marietta, LLC Past Accepting new patients

Locations

739 S Fortuna Blvd
Fortuna, CA 95540
Phone (707) 682-6155

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1265636336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S FORTUNA BLVD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403034",
            "telephone_number": "707-682-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S FORTUNA BLVD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403034",
            "telephone_number": "707-682-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR007533",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC34488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.