Individual provider Active NPI

Angelina Bracamontes

  • Hearing Instrument Specialist
  • Escondido, CA
National Provider Identifier
1073284451
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8505 Issued in CA
Practice address
1835 S Centre City Pkwy Ste F
Escondido, CA 92025-6544
Phone
(760) 480-2266
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 HA8505 CA Primary

Addresses

Primary practice location

1835 S Centre City Pkwy Ste F
Escondido, CA 92025-6544

Mailing address

150 S 5TH St Ste 2300
Minneapolis, MN 55402-4223
Phone (763) 268-4286

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.miracle-ear.com/Escondido Health Information Exchange (HIE)

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
HA8505CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West Inc Past Accepting new patients
Hearx West, LLC PastSince Mar 28, 2018 Accepting new patients

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1073284451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 2300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024223",
            "telephone_number": "763-268-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S CENTRE CITY PKWY STE F",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256544",
            "telephone_number": "760-480-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTES",
        "first_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.miracle-ear.com/Escondido",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1835 S Centre City Pkwy Ste F",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920256544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.