Active NPI
Jody A Hitchman, NP
- Pediatrics Physician
- Pomona, CA
National Provider Identifier
1467655100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- NP10940
- Practice address
- 1818 N Orange Grove Ave
#200
Pomona, CA 91767 - Phone
- (909) 622-6433
- Fax
- (909) 469-2524
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NP10940 | CA | Primary |
Addresses
Primary practice location
1818 N Orange Grove Ave
#200
Pomona, CA 91767
Mailing address
110 Calle Renata
San Dimas, CA 91773
Phone (909) 599-7281
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP10940 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467655100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CALLE RENATA",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "91773",
"telephone_number": "909-599-7281",
"fax_number": "909-469-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N ORANGE GROVE AVE",
"address_2": "#200",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-622-6433",
"fax_number": "909-469-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHMAN",
"first_name": "JODY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "NP10940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, 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.