Andrew W Fogg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 26719 Issued in CA

Practice address

1775 Harrison Ave
Eureka, CA 95501-1338

Phone

(707) 445-8080

Fax

(707) 445-8088

NPI assigned

Sep 23, 2005

Last updated

Jul 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Active Care Chiropractic Fogg Professional CorporationGroup PAC ID 9133427792, 4 clinicians

Fortuna Family Medicine IncGroup PAC ID 6901279264, 9 clinicians

Redwoods Rural Health Center IncGroup PAC ID 6709867583, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.fogg.1@28668.direct.athenahealth.com
• Direct secure messaging: drew.fogg.p1@direct.rrhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Care Chiropractic, Fogg Professional Corporation

  dba Active Care Chiropractic

  • Chiropractor
  • Eureka, CA
  • NPI 1356707772
  Medicare reassignment Care Compare group NPD
• Fortuna Family Medicine Inc.

  • Rural Health Clinic/Center
  • Fortuna, CA
  • NPI 1508580705
  Care Compare group
• Redwoods Rural Health Center Inc.

  • Community Health Clinic/Center
  • Redway, CA
  • NPI 1235206087
  Care Compare group

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1699761684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011338",
            "telephone_number": "707-445-8080",
            "fax_number": "707-445-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011338",
            "telephone_number": "707-445-8080",
            "fax_number": "707-445-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0267190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0267190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Eileen Flower
• Amber Danielle Flowers, FNP
• Regina Flowers, NP
• Matthew Marc Fluke, MD
• Cassandra Brooke Flynn
• Stephen Keith Fontenot, REGISTERED NURSE
• Hailey Fookes, R.S.
• Tiffany Nicole Forbes, RDH
• Jonathan David Ford-Peterson
• Sean Patrick Foreman

• Chiropractor in Eureka, CA
• Providers in Eureka, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.