Individual provider Active NPI

Candi Paola Barrera

  • Hearing Instrument Specialist
  • Ukiah, CA
National Provider Identifier
1003562919
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8207 Issued in CA
Practice address
756 S Dora St
Ukiah, CA 95482-5336
Phone
(707) 463-2966
Fax
(707) 463-2970
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA8207 CA Primary

Addresses

Primary practice location

756 S Dora St
Ukiah, CA 95482-5336

Mailing address

756 S Dora St
Ukiah, CA 95482-5336
Phone (707) 463-2966

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mlaudiology756@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA8207CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Lake Hearing Care, Inc CurrentSince Aug 7, 2022 Accepting new patients
Mendocino Lake Audiology Inc. PastSince Mar 6, 2022 Accepting new patients

Locations

756 S Dora St
Ukiah, CA 95482
Phone (707) 367-0172

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1003562919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825336",
            "telephone_number": "707-463-2966",
            "fax_number": "707-463-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825336",
            "telephone_number": "707-463-2966",
            "fax_number": "707-463-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "CANDI",
        "middle_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mlaudiology756@yahoo.com",
            "affiliation": "N",
            "address_1": "756 S Dora St",
            "city": "Ukiah",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954825336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.