Individual provider Active NPI

Caroline Bittner, PHYSICIAN ASSISTANT

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1578076675
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55478 Issued in CA
Practice address
2250 Hayes St Ste 208
San Francisco, CA 94117-1078
Phone
(415) 259-4104
Fax
(408) 294-6595
NPI assigned
Nov 10, 2017
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55478 CA
Physician Assistant 363A00000X PA55478 CA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 3466 TN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 55478 CA

Addresses

Primary practice location

2250 Hayes St Ste 208
San Francisco, CA 94117-1078

Mailing address

2250 Hayes St Ste 208
San Francisco, CA 94117-1078
Phone (415) 259-4101

Other practice location 1

900 Lafayette St Ste 105
Santa Clara, CA 95050-4966
Phone (408) 293-7767

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520001157 CA Practitioner - Physician Assistant 5597008326 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3466TNMDSports Medicine (Orthopaedic Surgery) Physician
PA55478CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
Cep America - California CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
Cep America-California CurrentSince Sep 1, 2022 Accepting new patients
Cep America-California CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: cbittner154374@santaclaravalley.direct-ci.net
  • Direct secure messaging: cbittner465956@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1578076675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST STE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-259-4101",
            "fax_number": "408-294-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST STE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171078",
            "telephone_number": "415-259-4104",
            "fax_number": "408-294-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Lafayette St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950504966",
            "country_code": "US",
            "telephone_number": "408-293-7767",
            "fax_number": "408-294-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "CAROLINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2022-06-30",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55478",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55478",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "3466",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "55478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.