Organization Active NPI

Drew Hittenberger and Associates

  • Orthotic Fitter
  • Santa Rosa, CA
National Provider Identifier
1083766331
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Legal business name
DREW HITTENBERGER AND ASSOCIATES
Practice address
1111 Sonoma Ave
Suite 106
Santa Rosa, CA 95405-4819
Phone
(707) 765-1122
Fax
(707) 765-4571
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Drew Arnold Hittenberger, C.P.
Title
Owner
Phone
(707) 765-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X CA Primary

Addresses

Primary practice location

1111 Sonoma Ave
Suite 106
Santa Rosa, CA 95405-4819

Mailing address

181 Lynch Creek Way
Suite 101
Petaluma, CA 94954
Phone (707) 765-1122

Other identifiers 1

IdentifierTypeStateIssuer
GXC000120MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1083766331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 LYNCH CREEK WAY",
            "address_2": "SUITE 101",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-765-1122",
            "fax_number": "707-765-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE",
            "address_2": "SUITE 106",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054819",
            "telephone_number": "707-765-1122",
            "fax_number": "707-765-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW HITTENBERGER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HITTENBERGER",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-765-1122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.