Active NPI
Floris Olden Pittman Jr., D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1538276811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 29855
- Practice address
- 6940 Alvarado Rd Ste a
San Diego, CA 92120-5313 - Phone
- (619) 287-7866
- Fax
- (619) 287-7893
- NPI assigned
- Aug 24, 2006
- Last updated
- Feb 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 29855 | CA | Primary |
Addresses
Primary practice location
6940 Alvarado Rd Ste a
San Diego, CA 92120-5313
Mailing address
6940 Alvarado Rd Ste a
San Diego, CA 92120-5313
Phone (619) 287-7866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000207 | CA | Practitioner - Chiropractic | 1658415666 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6940 Alvarado Rd
Suite a
San Diego, CA 92120-5313
Phone (619) 993-2729
6940 Alvarado Rd a
San Diego, CA 92120-5313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29855 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1538276811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 ALVARADO RD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205313",
"telephone_number": "619-287-7866",
"fax_number": "619-287-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 ALVARADO RD STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205313",
"telephone_number": "619-287-7866",
"fax_number": "619-287-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "FLORIS",
"middle_name": "OLDEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 29855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.