Active NPI 1194899682 Individual Practitioner Male Practitioner

Michael Richard Dittrich , NP

Nurse Practitioner - Primary Care • Carmichael, CA

Professional Overview & Biography Verified Profile Summary

Michael Dittrich, NP is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Carmichael, CA. Practice services are available at 6555 COYLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6555 Coyle Ave

Carmichael, CA 956080302

Telephone 9165363540

Associated Practice Facility / Clinic

🏢 Sierra Hematology And Oncology Medical Centers Facility NPI 1992796759

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Carmichael, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Carmichael, CA (1139 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CA NP6056

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

RN397509 (CA)

Commercial Insurance / Payer ID Aetna

5843015 (CA)

Commercial Insurance / Payer ID Pacificare

90207877 (CA)

Commercial Insurance / Payer ID Phcs

000810374542 (CA)

Commercial Insurance / Payer ID Great West

1750289 (CA)

Commercial Insurance / Payer ID United Healthcare

2688843 (CA)

Commercial Insurance / Payer ID Interplan

461131 (CA)

Commercial Insurance / Payer ID Blue Cross

N397509 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Kimberly Beatty , FNP-C

Nurse Practitioner - Family

NPI 1164895553

Family Nurse Practitioner (Certified)

Cynthia Fairman , RD CDE

Nutritionist

NPI 1235268269

RDCDE

Dr. Sofie De Nardi , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1316956378

Doctor of Medicine (M.D.)

Dr. Guillermo Mantilla , MD

Hospitalist

NPI 1326234816

Doctor of Medicine (M.D.)

Dr. Victoria Ryan , MD

Family Medicine - Adult Medicine

NPI 1326579541

Doctor of Medicine (M.D.)

Dr. Ying Brown , MD

Family Medicine

NPI 1407063357

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 6555 COYLE AVE, CARMICHAEL, CA 956080302 (Tel: 9165363540)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2646 STOUGHTON WAY, SACRAMENTO, CA 958271069 (Tel: 9167333333)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL DITTRICH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #NP6056 in CA)

🟢

Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194899682

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2646 Stoughton Way

Sacramento, CA 958271069

Phone: 9167333333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.