Richard M Witten, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G7782 Issued in CA

Practice address

6363 Wilshire Blvd
Ste 320a
Los Angeles, CA 90048-5730

Phone

(323) 653-6111

NPI assigned

Jun 24, 2005

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1700882644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013130",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD",
            "address_2": "STE 320A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485730",
            "telephone_number": "323-653-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTEN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G7782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "000G77820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Carl Witmer II, LCSW
• Olga Witrago
• Allise Ylianna Witt
• Amanda Kathleen Witte, MSN, ARNP
• Gabrielle Witte, LPCC
• Camden Lawrence Wittenauer
• Judy B Wittenberg Bravard, CNP
• David Aaron Wittenberg, D.C.
• Evans Wittenberg, LMFT
• Kevin Joel Wittenberg, PH.D.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.