Christopher Michael Vallejo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0006884 Issued in CO

Practice address

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone

(303) 519-3268

NPI assigned

Jul 14, 2021

Last updated

Jul 18, 2023By 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 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinica Campesina Family Health ServicesGroup PAC ID 7315850484, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Clinica Campesina Family Health Services

  dba Clinica Family Health

  • Clinic/Center
  • Lafayette, CO
  • NPI 1225025406
  Medicare reassignment Care Compare group NPD
• Denver Health and Hospital Authority

  • General Practice Physician
  • Denver, CO
  • NPI 1477569838
  Medicare reassignment NPD
• Community Reach Center, Inc

  • Community/Behavioral Health Agency
  • Thornton, CO
  • NPI 1316906886
  Medicare reassignment
• Clinica Campesina Family Health Services

  dba Clinica Family Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558109223
  NPD
• Clinica Campesina Family Health Services

  dba Clinica Family Health

  • Federally Qualified Health Center (FQHC)
  • Westminster, CO
  • NPI 1811279136
  NPD
• Community Reach Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Broomfield, CO
  • NPI 1841887056
  NPD
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  NPD
• Clinica Campesina Family Health Services

  dba Clinica Family Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558108498
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1841862422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "303-519-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196429",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah K. Upham, MA,LPC,ATR, HTR
• Kimberly Uran, RN
• US Radiology Partners of Texas Inc
• Jill Valenti
• Amy Eileen Valesh-Peterson, MSN
• Kristin Van Der Poel, LPC, MFTC, NCC
• Scott M Vander Weit, D.C.
• Susan Joy Vanderborgh
• Emma Vanderiet, MA, LPCC
• Vicky A Vanderpool, MD

• Physician Assistant in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.