Organization Active NPI

Kimberly Hottmann Incorporated

  • Medical Physician Assistant
  • Encinitas, CA
National Provider Identifier
1942515986
Registry record updated Aug 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15954 Issued in CA
Legal business name
KIMBERLY HOTTMANN INCORPORATED
Practice address
324 Encinitas Blvd
Encinitas, CA 92024-3723
Phone
(760) 436-4050
Fax
(760) 436-9380
NPI assigned
Aug 14, 2010
Last updated
Aug 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2010

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

Authorized official

Name
Kimberly K Hottmann-Wenger, PANPI 1124333166
Title
Owner
Phone
(760) 436-4050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15954 CA Primary

Addresses

Primary practice location

324 Encinitas Blvd
Encinitas, CA 92024-3723

Mailing address

4836 Twain Ave
San Diego, CA 92120-4222
Phone (760) 436-4050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281744000000",
    "number": "1942515986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 TWAIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204222",
            "telephone_number": "760-436-4050",
            "fax_number": "760-436-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243723",
            "telephone_number": "760-436-4050",
            "fax_number": "760-436-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HOTTMANN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2010-08-14",
        "status": "A",
        "authorized_official_last_name": "HOTTMANN-WENGER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-436-4050",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2010; 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.