Individual provider Active NPI

Patrick Henry Bitter Jr., MD

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1508981119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G509140 Issued in CA
Practice address
14651 S Bascom Ave
Suite 200
Los Gatos, CA 95032-2014
Phone
(408) 358-5757
Fax
(408) 358-8957
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G509140 CA Primary

Addresses

Primary practice location

14651 S Bascom Ave
Suite 200
Los Gatos, CA 95032-2014

Mailing address

14651 S Bascom Ave
Suite 200
Los Gatos, CA 95032-2014
Phone (408) 358-5757

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002021 CA Order and Referring Only - DermatologyPractitioner - Dermatology 7012979446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G509140CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508981119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "SUITE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-358-5757",
            "fax_number": "408-358-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "SUITE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-358-5757",
            "fax_number": "408-358-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTER",
        "first_name": "PATRICK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G509140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.