Drew Hittenberger

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP 1093 Issued in DE

Legal business name

DREW HITTENBERGER

Doing business as

Hittenberger Orthotics and Prosthetics, LLC

Practice address

181 Lynch Creek
Suite 101
Petaluma, CA 94954

Phone

(707) 765-1122

Fax

(707) 765-4571

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Drew Arnold Hittenberger, CP BOC

Title

Owner

Phone

(707) 765-1122

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hittenberger Orthotics and Prosthetics, LLC Doing business as

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1487895975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE",
            "address_2": "SUITE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054819",
            "telephone_number": "707-765-1122",
            "fax_number": "707-765-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LYNCH CREEK",
            "address_2": "SUITE 101",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-765-1122",
            "fax_number": "707-765-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW HITTENBERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "HITTENBERGER",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-765-1122",
        "authorized_official_credential": "CP BOC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CP 1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN PETALUMA",
            "identifier": "4129830001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN SANTA ROSA",
            "identifier": "4129830006",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN KENTFIELD",
            "identifier": "4129830007",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "4129830001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hittenberger Orthotics and Prosthetics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nai Doina Dorval
• Joseph Dos Ramos, MFT
• Tamariah Doyle
• Dr. Patrick Macleamy & Associates Psychological Assessment Inc.
• Drew Hittenberger
• Laura Drewes, CMT, OPPE TEACHING
• DRS. Woo and Deberardinis
• Daniela Duarte
• Skyler Dubbels
• Alan Leslie Dubin, M.D.

• Prosthetic/Orthotic Supplier in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.