Individual provider Active NPI

John Edward Biteman, M.D.

  • Otolaryngology Physician
  • Arcata, CA
National Provider Identifier
1366410763
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C34068 Issued in CA
Practice address
3770 Janes Rd
Arcata, CA 95521-4744
Phone
(707) 822-5020
Fax
(707) 822-1969
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Hospital Management Corporation Past Accepting new patients
North Pacific Cardiology Medical Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C34068 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3770 Janes Rd
Arcata, CA 95521-4744

Mailing address

3770 Janes Rd
Arcata, CA 95521-4744
Phone (707) 822-5020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GR0056090MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2013.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1366410763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214744",
            "telephone_number": "707-822-5020",
            "fax_number": "707-822-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214744",
            "telephone_number": "707-822-5020",
            "fax_number": "707-822-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITEMAN",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C34068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.