Individual provider Active NPI

Thomas Michael Ferrigno Sr., D.C.

  • Chiropractor
  • Campbell, CA
National Provider Identifier
1376780882
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19451 Issued in CA
Practice address
420 Marathon Dr
Campbell, CA 95008-0918
Phone
(650) 219-5595
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 19451 CA Primary

Addresses

Primary practice location

420 Marathon Dr
Campbell, CA 95008-0918

Mailing address

420 Marathon Dr
Campbell, CA 95008-0918
Phone (650) 219-5595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090403000272 CA Practitioner - Chiropractic 7719034909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 Marathon Dr
Campbell, CA 95008-0918
Phone (408) 866-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19451CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Ferrigno Chiropractic Corporation Chiropractor CurrentSince Feb 26, 2009 Accepting new patients

Locations

420 Marathon Dr
Campbell, CA 95008
Phone (408) 866-0300

177 Bovet Rd
Ste 150
San Mateo, CA 94402
Phone (650) 375-2545

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.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1376780882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MARATHON DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080918",
            "telephone_number": "650-219-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MARATHON DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080918",
            "telephone_number": "650-219-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIGNO",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.