Active NPI
Elizabeth Pittenger
- Student in an Organized Health Care Education/Training Program
- Santa Cruz, CA
National Provider Identifier
1184027674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4795 Opal Cliff Dr
Santa Cruz, CA 95062-5229 - Phone
- (831) 464-8694
- NPI assigned
- Sep 29, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4795 Opal Cliff Dr
Santa Cruz, CA 95062-5229
Mailing address
208 Dickens Way
Santa Cruz, CA 95064-1000
Phone (831) 332-6765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44AV | Other | CA | MEDI-CAL PRV NBR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1184027674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DICKENS WAY",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950641000",
"telephone_number": "831-332-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 OPAL CLIFF DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950625229",
"telephone_number": "831-464-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTENGER",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PRV NBR",
"identifier": "44AV",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.