Individual provider Active NPI

Richard Newman Whitaker, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Rancho Cucamonga, CA
National Provider Identifier
1023399276
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2798 Issued in CA
Practice address
8283 Grove Ave
Suite 104
Rancho Cucamonga, CA 91730-3137
Phone
(909) 920-9906
Fax
(909) 920-4151
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2798 CA Primary

Addresses

Primary practice location

8283 Grove Ave
Suite 104
Rancho Cucamonga, CA 91730-3137

Mailing address

8283 Grove Ave
Suite 104
Rancho Cucamonga, CA 91730-3137
Phone (909) 920-9906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000223 CA Practitioner - Qualified Audiologist 0840440202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2798CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a Brotman M.D. a Professional Corp PastSince Jun 1, 2012 Accepting new patients
Dignity Health Medical Foundation PastSince Jun 1, 2012 Accepting new patients

Organizations & group practices 3

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1023399276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-920-9906",
            "fax_number": "909-920-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-920-9906",
            "fax_number": "909-920-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RICHARD",
        "middle_name": "NEWMAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.