Individual provider Active NPI

Nelton Joseph Robertson III, HEARING AID DISPENSE

  • Hearing Instrument Specialist
  • Hawthorne, CA
National Provider Identifier
1053861211
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8137 Issued in CA
Practice address
4477 W 118TH St Ste 403
Hawthorne, CA 90250-2231
Phone
(310) 644-7284
Fax
(310) 644-7222
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 HA8137 CA Primary

Addresses

Primary practice location

4477 W 118TH St Ste 403
Hawthorne, CA 90250-2231

Mailing address

4477 W 118TH St Ste 403
Hawthorne, CA 90250-2231
Phone (310) 227-6604

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
HA8137CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
NJR Hearing Aid Center Hearing Instrument Specialist CurrentSince Aug 13, 2023 Accepting new patients
National Hearing Aid Center Past Accepting new patients

Locations

4477 W 118th St
Ste 403
Hawthorne, CA 90250
Phone (310) 227-6604

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1053861211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 403",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502231",
            "telephone_number": "310-227-6604",
            "fax_number": "310-644-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 403",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502231",
            "telephone_number": "310-644-7284",
            "fax_number": "310-644-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NELTON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.