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MILES ELLIS PETERSON PHD NPI 1376510313


NPI Information

NPI: 1376510313
Provider Name: MILES ELLIS PETERSON, PHD
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Individual
Address:
8283 GROVE AVE
#104
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 920-9906
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Miles Ellis Peterson, PHD is an audiologist hearing aid fitter in Rancho Cucamonga, 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. Miles Ellis Peterson, PHD NPI is 1376510313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8283 GROVE AVE
#104
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 920-9906
Fax: (909) 920-4151

The enumeration date for this NPI number is 3/8/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid FitterHA2555CALIFORNIANo
2237600000XAudiologist-Hearing Aid FitterAU1139CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AU0011390MEDICAIDCALIFORNIA
2ZZZ18056ZMEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

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