Organization Active NPI

Clear Choice Hearing Clinic Incorporated

  • Audiologist-Hearing Aid Fitter
  • Encino, CA
National Provider Identifier
1104242981
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU 1945 Issued in CA
Legal business name
CLEAR CHOICE HEARING CLINIC INCORPORATED
Practice address
17815 Ventura Blvd
Suite 206
Encino, CA 91316-1100
Phone
(818) 881-8877
Fax
(818) 881-8858
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Nina K Sami, M.S.NPI 1649426719
Title
Audiologist/Owner
Phone
(818) 881-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AU 1945 CA Primary

Addresses

Primary practice location

17815 Ventura Blvd
Suite 206
Encino, CA 91316-1100

Mailing address

17815 Ventura Blvd
Suite 206
Encino, CA 91316-1100
Phone (818) 881-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140920000178 CA Part B Supplier - Clinic/Group Practice 6901025170 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

17815 Ventura Blvd
Ste 206
Encino, CA 91316
Phone (818) 881-8877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1104242981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "SUITE 206",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161100",
            "telephone_number": "818-881-8877",
            "fax_number": "818-881-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "SUITE 206",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161100",
            "telephone_number": "818-881-8877",
            "fax_number": "818-881-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE HEARING CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SAMI",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "818-881-8877",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.