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

Active since September 17, 2006PECOS EnrolledCLIA 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: July 19, 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 is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through October 26, 2027.Information from the official NPPES registry record, last updated January 14, 2020.

NPPES Registry Identity

NPI1679670327
Entity TypeIndividualFemale
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
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. How NPI validation works

Primary Specialty

Internal Medicine

Taxonomy 207R00000X · Allopathic & Osteopathic Physicians

Licensed in CA · G77904

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.… Show more

12395 EL CAMINO REAL STE 115, San Diego, CA 92130

Medicare Participation & PECOS Enrollment Status

Amy Witman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2018

  • Opt-Out End Date: 01-01-2028

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92130 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $140.22
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $35.05
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.42
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $27.1
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1107031
Facility Type
Physician Office
Certificate Effective Date
October 27, 2025
Certificate Expiration Date
October 26, 2027
Laboratory Director
AMY B. WITMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Amy Witman to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DR. AMY B. WITMAN M.D.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
12395 EL CAMINO REAL STE 115
SAN DIEGO, CA 92130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679670327, enumerated as an "individual" on September 17, 2006.

The provider is located at 12395 EL CAMINO REAL STE 115 SAN DIEGO, CA 92130 and the phone number is (858) 724-1313.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.