Active NPI
Patricia Louise Dutcher, OTA
- Contractor
- Poway, CA
National Provider Identifier
1063750800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OTA710
- Practice address
- 12655 Butterwood CT
Poway, CA 92064-3248 - Phone
- (858) 486-3866
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OTA710 | CA | Primary |
Addresses
Primary practice location
12655 Butterwood CT
Poway, CA 92064-3248
Mailing address
12655 Butterwood CT
Poway, CA 92064-3248
Phone (858) 486-3866
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA710 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1063750800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12655 BUTTERWOOD CT",
"city": "POWAY",
"state": "CA",
"postal_code": "920643248",
"telephone_number": "858-486-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12655 BUTTERWOOD CT",
"city": "POWAY",
"state": "CA",
"postal_code": "920643248",
"telephone_number": "858-486-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTCHER",
"first_name": "PATRICIA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "OTA710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.