Richard Wittner, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

G16378 Issued in CA

Practice address

2865 Atlantic Ave
Ste 149
Long Beach, CA 90806-7411

Phone

(562) 595-1879

Fax

(562) 595-0135

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• UCLA Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043427248
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902994197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "STE 149",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908067411",
            "telephone_number": "562-595-1879",
            "fax_number": "562-595-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "STE 149",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908067411",
            "telephone_number": "562-595-1879",
            "fax_number": "562-595-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTNER",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G16378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG163780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Carol Witnauer-Smith, L.C.S.W.
• Sarah Beth Witt, D.C.
• Andrew Wittenberg, MD
• Martha E. Wittenberg, M.D.
• Danica Witter
• Wled Wazni, M.D. Medical Corporation
• WMGR Inc
• Dean Woehrman
• Shaneisha Monik Wofford
• Dawn Wojciechowski, RN, BSN, FNP, MSN

• Pediatric Cardiology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.