Individual provider Active NPI

Alexander Bittner, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1427413871
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55568 Issued in CA
Practice address
345 N Maple Dr Ste 318
Beverly Hills, CA 90210-3869
Phone
(310) 779-3742
NPI assigned
Dec 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118628 FL
Physician Assistant 363A00000X 55568 CA Primary

Addresses

Primary practice location

345 N Maple Dr Ste 318
Beverly Hills, CA 90210-3869

Mailing address

3619 Cardiff Ave Apt 105
Los Angeles, CA 90034-7807
Phone (440) 840-6709

Other practice location 1

3619 Cardiff Ave Apt 105
Los Angeles, CA 90034-7807
Phone (440) 840-6709

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002717 CA Practitioner - Physician Assistant 3678877016 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118628FLMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1427413871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 CARDIFF AVE APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900347807",
            "telephone_number": "440-840-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAPLE DR STE 318",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103869",
            "telephone_number": "310-779-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Cardiff Ave Apt 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900347807",
            "country_code": "US",
            "telephone_number": "440-840-6709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118628",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.