Kimberly K Hottmann-Wenger, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15954 Issued in CA

Practice address

324 Encinitas Blvd
Encinitas, CA 92024-3723

Phone

(760) 436-4050

Fax

(760) 436-9380

NPI assigned

Aug 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly K Hottmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Kimberly Hottmann Incorporated

  • Medical Physician Assistant
  • Encinitas, CA
  • NPI 1942515986
  NPD (past) Authorized official

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281744000000",
    "number": "1124333166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 TWAIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204222",
            "telephone_number": "760-436-4050",
            "fax_number": "760-436-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243723",
            "telephone_number": "760-436-4050",
            "fax_number": "760-436-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTTMANN-WENGER",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-14",
        "last_updated": "2010-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOTTMANN",
            "middle_name": "K",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elina Janis Hood
• William Wayne Hooper, MD
• Diana E Hoppe, M.D.
• Steven Bryant Horne, D.D.S.
• Kristen Greider Hornung, MA, PHD, LPCC #2071
• John David How, M.D.
• James Peter Howard, M.D.
• Huntington Howe
• Howie W Que, DPM Inc
• Andrew Y Hsing, M.D.

• Medical Physician Assistant in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2010; 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.