Active NPI
Carolyn Collins Yuille
- Audiologist-Hearing Aid Fitter
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU2509
- Practice address
- 1135 E Route 66
Ste 111
Glendora, CA 91740-3700 - Phone
- (626) 914-5661
- Fax
- (626) 335-1570
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- 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 | AU2509 | CA | Primary |
Addresses
Primary practice location
1135 E Route 66
Ste 111
Glendora, CA 91740-3700
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (763) 268-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071217000744 | CA | Practitioner - Qualified Audiologist | 8527158328 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2509 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Dynamic Enterpris Inc. | Current | Accepting new patients | |
| Hearing Clinic & Speech Health Services & Sales, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Sonus-USA, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Serendipity Hearing Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
4195 Chino Hills Pkwy
Ste 172
Chino Hills, CA 91709
3233 Grand Ave
Ste 329
Chino Hills, CA 91709
1700 Alameda St
Pomona, CA 91768
Phone (909) 397-9247
984 W Foothill Blvd
Upland, CA 91786
Phone (909) 373-1027
Organizations & group practices 4
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.
-
- Hearing and Speech Clinic/Center
- Pomona, CA
- NPI 1942356027
Audiologist-Hearing Aid Fitter
-
- Hearing Aid Equipment
- Westminister, CA
- NPI 1760783344
Audiologist-Hearing Aid Fitter
-
- Audiologist-Hearing Aid Fitter
- Cerritos, CA
- NPI 1427156116
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hearing Dynamic Enterpris Inc.
Practice addresses (Care Compare)
1700 Alameda St
Pomona, CA 91768-1727
Phone (909) 397-9247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1063601201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "763-268-4115",
"fax_number": "763-268-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 E ROUTE 66",
"address_2": "STE 111",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917403700",
"telephone_number": "626-914-5661",
"fax_number": "626-335-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUILLE",
"first_name": "CAROLYN",
"middle_name": "COLLINS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.