Individual provider Active NPI

Kristina Wittig, MD

  • Urology Physician
  • Santa Clarita, CA
National Provider Identifier
1215995998
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A125813 Issued in CA
Practice address
23823 Valencia Blvd Ste 250
Santa Clarita, CA 91355-9512
Phone
(661) 799-1999
Fax
(661) 799-0829
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A125813 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd Ste 250
Santa Clarita, CA 91355-9512

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514

Other practice location 1

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 471-7100

Other practice location 2

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 471-7100

Other practice location 3

15031 Rinaldi St Ste 150
Mission Hills, CA 91345-1207
Phone (818) 660-4700

Other practice location 4

44151 15th St W Ste 101
Lancaster, CA 93534-4079
Phone (661) 902-5600

Other identifiers 1

IdentifierTypeStateIssuer
02330110MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000439 CA Practitioner - Urology 3577570027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

15031 Rinaldi St
Suite 100And150
Mission Hills, CA 91345-1207
Phone (818) 496-4410

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

23823 Valencia Blvd
Suite 250
Santa Clarita, CA 91355-9512
Phone (626) 775-3200

44151 15TH St W
Suite 101
Lancaster, CA 93534-4079
Phone (661) 902-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
125813CAMDMarriage & Family Therapist
008656NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group, Inc. Urology Current Accepting new patients
City of Hope Medical Foundation Urology CurrentSince Aug 1, 2016 Accepting new patients
California Cancer Specialists Medical Group Inc Urology Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Emergency Medical of Sound Shore PC Past Accepting new patients
LH Emergency Medical Services PC Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

44151 15th St W
#101
Lancaster, CA 93534
Phone (661) 902-5600

15031 Rinaldi St
Ste 150
Mission Hills, CA 91345
Phone (818) 660-4700

1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

23823 Valencia Blvd
Ste 250
Santa Clarita, CA 91355
Phone (661) 799-1999

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: kwittig11330@cityofhope.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1215995998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185",
            "telephone_number": "626-775-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 250",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-799-1999",
            "fax_number": "661-799-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-471-7100",
            "fax_number": "626-301-8285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-471-7100",
            "fax_number": "626-301-8285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15031 Rinaldi St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451207",
            "country_code": "US",
            "telephone_number": "818-660-4700",
            "fax_number": "818-837-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44151 15th St W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344079",
            "country_code": "US",
            "telephone_number": "661-902-5600",
            "fax_number": "661-951-0686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTIG",
        "first_name": "KRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A125813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02330110",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "44151 15th St W Ste 101",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935344079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.