Active NPI
Mary E. Hitchens, LVN
- Mastectomy Fitter
- Vista, CA
National Provider Identifier
1770025165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- C52597
- Practice address
- 1315 Hot Springs Way Ste 101
Vista, CA 92081-7878 - Phone
- (858) 751-9632
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | C52597 | CA | Primary |
Addresses
Primary practice location
1315 Hot Springs Way Ste 101
Vista, CA 92081-7878
Mailing address
1315 Hot Springs Way Ste 101
Vista, CA 92081-7878
Phone (858) 751-9632
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52597 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1770025165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 HOT SPRINGS WAY STE 101",
"city": "VISTA",
"state": "CA",
"postal_code": "920817878",
"telephone_number": "858-751-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HOT SPRINGS WAY STE 101",
"city": "VISTA",
"state": "CA",
"postal_code": "920817878",
"telephone_number": "858-751-9632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHENS",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "CA",
"license": "C52597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.