Active NPI
Jeffrey Martin Witte
- Rehabilitation Practitioner
- Torrance, CA
National Provider Identifier
1568601276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1000 W Carson St
Torrance, CA 90502-2004 - Phone
- (310) 404-5358
- NPI assigned
- Feb 19, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502-2004
Mailing address
PO Box 2910
Torrance, CA 90509-2910
Phone (310) 404-5358
Other practice location 1
21730 South Vermont Ave.
suite 210
Torrance, CA 90502
Phone (310) 781-3400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1568601276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2910",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905092910",
"telephone_number": "310-404-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-404-5358"
}
],
"practiceLocations": [
{
"address_1": "21730 South Vermont Ave.",
"address_2": "suite 210",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "90502",
"country_code": "US",
"telephone_number": "310-781-3400",
"fax_number": "310-782-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTE",
"first_name": "JEFFREY",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-19",
"last_updated": "2021-08-17",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.