Individual provider Active NPI

Ayah Bitar, FNP - C

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1396398822
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010925 Issued in CA
Practice address
275 S Main St
Orange, CA 92868-3843
Phone
(714) 516-9588
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010925 CA Primary

Addresses

Primary practice location

275 S Main St
Orange, CA 92868-3843

Mailing address

2840 S Diamond Bar Blvd Apt 118
Diamond Bar, CA 91765-3486
Phone (747) 300-7102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayah@dermfx.com

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

State licenses

LicenseStateTypeSpecialty
95010925CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1396398822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S DIAMOND BAR BLVD APT 118",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653486",
            "telephone_number": "747-300-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683843",
            "telephone_number": "714-516-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITAR",
        "first_name": "AYAH",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-09-14",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayah@dermfx.com",
            "affiliation": "N",
            "address_1": "275 S Main St",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928683843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.