Active NPI
Richard Newman Whitaker, AU.D.
- Audiologist-Hearing Aid Fitter
- Rancho Cucamonga, CA
National Provider Identifier
1023399276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU2798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2798 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia a Brotman M.D. a Professional Corp | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | 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.
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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.