Active NPI
Ethan Ittner, D.O.
- Psychiatry Physician
- Chico, CA
National Provider Identifier
1083908248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A13826
- Practice address
- 3247 Esplanade
Chico, CA 95973-4969 - Phone
- (530) 883-8535
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A13826 | CA | Primary |
Addresses
Primary practice location
3247 Esplanade
Chico, CA 95973-4969
Mailing address
3247 Esplanade
Chico, CA 95973-4969
Phone (970) 406-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- College of Osteo Med of the Pacific at Pomona, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3255 Esplanade
Chico, CA 95973-0255
Phone (530) 899-3150
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.46 of 100
- Quality
- 61.12
- Improvement activities
- 40
- Cost
- 77.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13826 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- ethan.ittner.1@25483.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Chico, CA
- NPI 1770742819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1083908248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959734969",
"telephone_number": "970-406-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3247 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959734969",
"telephone_number": "530-883-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITTNER",
"first_name": "ETHAN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A13826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.