Brandon Michael Dittmar, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95015271 Issued in CA

Practice address

1910 Outlet Center Dr
Oxnard, CA 93036-0677

Phone

(805) 485-2400

Fax

(805) 485-3025

NPI assigned

Sep 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• West Coast Critical Care Specialists, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Oxnard, CA
  • NPI 1861707770
  Medicare reassignment NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1831704113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Horsemill Rd",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920217807",
            "country_code": "US",
            "telephone_number": "805-390-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTMAR",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95015271",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95015271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignity Health (St. John's Hospital Outpatient Lab)
• Dilip M Patel DDS Inc (oxnard dental office)
• Terry Patrick Dillon, M.D.
• Jia Jennifer Ding, MD
• Lori Dinwiddie, PSY.D.
• Divine Agape Health Care Agency
• DMG and Assoc (Alternative Action Programs)
• DN Michelson MD Inc. (Cosmetic, Aesthetic and Anti-Aging Center)
• DN Michelson, M.D., Inc. (Cosmetic, Aesthetic and Anti-Aging Center)
• Shiang L. DO, D.O.

• Nurse Practitioner in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.