Active NPI
Drew Hittenberger and Associates
- Orthotic Fitter
- Santa Rosa, CA
National Provider Identifier
1083766331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC000120 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.