Active NPI
Walter Carl Breitinger, M.A.
- Audiologist
- Sylmar, CA
National Provider Identifier
1336263920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU222
- Practice address
- 14445 Olive View Dr RM 2B156
Sylmar, CA 91342-1437 - Phone
- (818) 364-3194
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU222 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Dr RM 2B156
Sylmar, CA 91342-1437
Mailing address
24066 Briardale Way
Newhall, CA 91321-3946
Phone (661) 254-6457
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222 | CA | MD | Midwife |
| AU222 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336263920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24066 BRIARDALE WAY",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913213946",
"telephone_number": "661-254-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR RM 2B156",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421437",
"telephone_number": "818-364-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITINGER",
"first_name": "WALTER",
"middle_name": "CARL",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.