Hendrik Breytenbach MD Inc
NPI 1003314873ActiveOrganization· Family Medicine· Templeton, CA
Family Medicine in Templeton, California, registered in NPPES in January 2018. The authorized official on file is Crissy Mackinga, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003314873 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2018 |
| Last updated in NPPES | Jan 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A69161 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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