Basic Information
| Provider Information | |||||||||
| NPI: | 1023428901 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PITCHER | ||||||||
| FirstName: | AUSTIN | ||||||||
| MiddleName: | ARLO | ||||||||
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| Credential: | MD, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 PORTER DR STE 215 | ||||||||
| Address2: | |||||||||
| City: | SAN RAMON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945831524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009438099 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3315 BROADWAY FL 1 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946115717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009438099 | ||||||||
| FaxNumber: | 5104862333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2014 | ||||||||
| LastUpdateDate: | 08/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | A139721 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.