Hendrik Breytenbach MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A69161 Issued in CA

Legal business name

HENDRIK BREYTENBACH MD INC

Practice address

292 Posada LN Ste D
Templeton, CA 93465-4054

Phone

(805) 434-3791

Fax

(805) 434-2019

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Crissy Mackinga

Title

Office Manager

Phone

(805) 434-3791

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hendrik F Breytenbach, M.D.

  • Family Medicine Physician
  • Templeton, CA
  • NPI 1437156262
  Medicare reassignment

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1003314873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 POSADA LN STE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654054",
            "telephone_number": "805-434-3791",
            "fax_number": "805-434-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 POSADA LN STE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654054",
            "telephone_number": "805-434-3791",
            "fax_number": "805-434-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIK BREYTENBACH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "MACKINGA",
        "authorized_official_first_name": "CRISSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-434-3791"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Joyce Hayes, OD
• Tina Lisa Heck, PA-C
• John E Heess, MD
• Aubrey Michelle Hefner, D.C.
• Clara Jo Heinritz, L.AC.
• Melvin Herman, M.D.
• Steven John Herron, MD
• Corey Joseph Hiti, M.D.
• Donald Russell Hobbs, PA-C
• Steve Hodgson, RPT

• Family Medicine Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.