Individual provider Active NPI

Christopher D.H. Bambus, D.C.

  • Chiropractor
  • Fair Oaks, CA
National Provider Identifier
1831302256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA13444 Issued in CA
Practice address
4737 Pennsylvania Ave
Fair Oaks, CA 95628-5817
Phone
(916) 961-6505
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA13444 CA Primary

Addresses

Primary practice location

4737 Pennsylvania Ave
Fair Oaks, CA 95628-5817

Mailing address

11015 Olson Dr Ste 9
Rancho Cordova, CA 95670-5654
Phone (916) 635-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA13444CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831302256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR STE 9",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705654",
            "telephone_number": "916-635-7878",
            "fax_number": "916-635-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 PENNSYLVANIA AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285817",
            "telephone_number": "916-961-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBUS",
        "first_name": "CHRISTOPHER",
        "middle_name": "D.H.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA13444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.