Elaine De Jesus Anderson, HAD

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA 7100 Issued in CA

Practice address

310 3Rd Ave
Ste C11
Chula Vista, CA 91910-3953

Phone

(619) 426-0841

Fax

(619) 426-9197

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Molina De Jesus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Serendipity Hearing Inc

  • Hearing Aid Equipment
  • Westminister, CA
  • NPI 1760783344

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1063558856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 SLEEPY WIND ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212935",
            "telephone_number": "619-426-0841",
            "fax_number": "619-426-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 3RD AVE",
            "address_2": "STE C11",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103953",
            "telephone_number": "619-426-0841",
            "fax_number": "619-426-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELAINE",
        "middle_name": "DE JESUS",
        "name_prefix": "Ms.",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "DE JESUS",
            "middle_name": "MOLINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willy Anand, MD
• Khamara Anders
• Angela Andersen, PTA
• Alexis Anderson
• Brian Cornell Anderson, M.D.
• Jennifer Lee Anderson, M.D.
• Jessica Anderson, M.A., CCC-A
• Patricia G. Anderson, M.D.
• Scott Anderson
• Diane Andraca

• Hearing Instrument Specialist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.