NPIMap

Organization Active NPI

Elk Grove Hearing Clinic, Inc.

  • Audiologist-Hearing Aid Fitter
  • Elk Grove, CA
National Provider Identifier
1104316587
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2591 Issued in CA
Legal business name
ELK GROVE HEARING CLINIC, INC.
Practice address
9300 W Stockton Blvd Ste 103
Elk Grove, CA 95758-8070
Phone
(916) 627-1494
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Dr. Amy White, AU.D.
Title
Audiologist
Phone
(916) 627-1494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AU2591 CA Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X HA7877 CA

Addresses

Primary practice location

9300 W Stockton Blvd Ste 103
Elk Grove, CA 95758-8070

Mailing address

9300 W Stockton Blvd Ste 103
Elk Grove, CA 95758-8070
Phone (916) 627-1494

Other identifiers 2

IdentifierTypeStateIssuer
1295154326MedicaidCA
1881844298MedicaidCA

Other names 1

  • Elk Grove Hearing Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1104316587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD STE 103",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-627-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD STE 103",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-627-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE HEARING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "916-627-1494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2591",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295154326",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881844298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elk Grove Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.