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DR. AMY B. WITMAN M.D.
NPI 1679670327
Internal Medicine in San Diego, CA

Active since September 17, 2006Opted out of Medicare · through Jan 1, 2028CLIA 05D1107031 · Waiver
12395 EL CAMINO REAL STE 115, SAN DIEGO, CA 92130(858) 724-1313(858) 724-1314 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2020, Jul 20, 2018, Dec 29, 2017 (3 updates tracked since 2017).

About Dr. Amy B. Witman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMY B. WITMAN M.D. (NPI 1679670327) is an individual internal medicine provider in San Diego, California, licensed in California (G77904) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through October 26, 2027.

NPPES Registry Identity

NPI1679670327
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMY B. WITMANCredential: M.D.
Location Address12395 EL CAMINO REAL STE 115San Diego, CA 92130-3083
Mailing Address12395 El Camino Real Ste 115San Diego, CA 92130-3083 · (858) 724-1313 · Fax (858) 724-1314
Phone(858) 724-1313
Fax(858) 724-1314
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
✔ NPI 1679670327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G77904
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12395 EL CAMINO REAL STE 115, San Diego, CA 92130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Amy B. Witman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1107031

Amy Witman MD, A Medical Corporation · San Diego, CA
Active · expires Oct 26, 2027
CLIA Number05D1107031
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorAmy B. Witman
Laboratory Phone(858) 724-1313
Laboratory LocationAmy Witman MD, A Medical Corporation12395 El Camino Real Suite 115, San Diego, CA 92130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY WITMAN MD A MEDICAL CORPORATION
Internal Medicine
12395 EL CAMINO REAL STE 115
SAN DIEGO, CA 92130
San Diego County (858) 724-1313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Witman's NPI number?

The NPI number for Amy Witman is 1679670327. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Amy Witman located?

Amy Witman practices at 12395 El Camino Real Ste 115, San Diego, CA 92130. The listed phone number is (858) 724-1313.

What is Amy Witman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Witman enrolled in Medicare?

No. Amy Witman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Amy Witman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1107031) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amy Witman accept?

Health plans from Molina Healthcare list Amy Witman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Witman was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.