Pacific Coast Hearing Aid Centers

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

HA2892 Issued in CA

Legal business name

PACIFIC COAST HEARING AID CENTERS

Practice address

347 Cypress St
Suite D
Fort Bragg, CA 95437-5458

Phone

(707) 962-9230

Fax

(707) 962-9230

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

David L. Pellandini

Title

Owner/Manager

Phone

(707) 962-9230

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1104182690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 CYPRESS ST",
            "address_2": "SUITE D",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375458",
            "telephone_number": "707-962-9230",
            "fax_number": "707-962-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 CYPRESS ST",
            "address_2": "SUITE D",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375458",
            "telephone_number": "707-962-9230",
            "fax_number": "707-962-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST HEARING AID CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "PELLANDINI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "707-962-9230"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "HA2892",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA2892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSERS LICENSE",
            "identifier": "HA2892",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Numinous Psychotherapy Inc
• Poppy O'Sheehan
• Janette Ornelas
• Mateo Ezequiel Ortiz Cuesta
• Pacific Coast Hearing Aid Center, Inc.
• Pacific Medical Resources, Inc.
• Pacific Medical Resources, Inc.
• Pacific Physical Therapy Inc.
• Giovanna Pagano, LCSW
• Mary Pat Palmer, M.A.

• Hearing Aid Equipment in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Hearing Aid Equipment in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.