David Joseph D'Amico, DC
Individual provider Active NPI Chiropractor · Fortuna, CA
NPI 1831236389 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831236389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC29122 (CA)
- Practice address
- 431 N Fortuna Blvd
Fortuna, CA 95540-2724 - Phone
- (707) 726-9179
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29122 | CA | MD | Clinical Psychologist |
| DC29122 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowell Chiropractic Inc | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29122 | CA | Yes |
Addresses
Primary practice location
431 N Fortuna Blvd
Fortuna, CA 95540-2724
Mailing address
431 N Fortuna Blvd
Fortuna, CA 95540-2724
Phone (707) 726-9179
Other providers in Fortuna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.