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ELK GROVE HEARING CARE NPI 1275918542


NPI Information

NPI: 1275918542
Provider Name: ELK GROVE HEARING CARE
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Organization

CLIA Number: 05D2082490

Address:
9300 W STOCKTON BLVD STE 103
ELK GROVE, CA
ZIP 95758
Phone: (916) 627-1494
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ELK GROVE HEARING CARE is an audiologist hearing aid fitter in Elk Grove, CA. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. ELK GROVE HEARING CARE NPI is 1275918542. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9300 W STOCKTON BLVD STE 103
ELK GROVE, CA
ZIP 95758-070
Phone: (916) 627-1494

The provider's authorized official is Isaac Phillips White .
The authorized official title is Owner/dispenser and has the following contact phone number (916) 627-1494.

The CLIA number assigned to this NPI record is 05D2082490 - other - company clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 7/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237700000XHearing Instrument SpecialistHA7877CALIFORNIANo
2237600000XAudiologist-Hearing Aid FitterAU2591CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11881844298OTHERNPPES
21295154326OTHERNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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