Active NPI
Pamela Chaffin Fowers, DC
- Chiropractor
- Citrus Heights, CA
National Provider Identifier
1619196904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17992
- Practice address
- 8035 Madison Ave Ste A2
Citrus Heights, CA 95610-7949 - Phone
- (916) 967-7016
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17992 | CA | Primary |
Addresses
Primary practice location
8035 Madison Ave Ste A2
Citrus Heights, CA 95610-7949
Mailing address
8035 Madison Ave Ste A2
Citrus Heights, CA 95610-7949
Phone (916) 967-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120905000184 | CA | Practitioner - Chiropractic | 9335396936 | Practice locations: Citrus Heights, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8035 Madison Ave
Suite A2
Citrus Heights, CA 95610-7949
Phone (916) 967-7016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17992 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619196904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8035 MADISON AVE STE A2",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107949",
"telephone_number": "916-967-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 MADISON AVE STE A2",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107949",
"telephone_number": "916-967-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWERS",
"first_name": "PAMELA",
"middle_name": "CHAFFIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.