Active NPI
Christopher Joseph Campagna, DC
- Rehabilitation Chiropractor
- Fortuna, CA
National Provider Identifier
1265636336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC34488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC34488 | CA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortuna Chiropractic LLC | Current | Accepting new patients | |
| Integrated Health Services | Rehabilitation | Past | 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.
-
- Clinic/Center
- Fortuna, CA
- NPI 1831715135
-
- Rehabilitation Chiropractor
- Marietta, GA
- NPI 1922202001
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1588978530
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.