Walter Dick Beck
Individual provider Active NPI Audiologist-Hearing Aid Fitter · Cerritos, CA
NPI 1104873033 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1104873033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- AU1794 (CA)
- Practice address
- 10929 South St
Ste 202B
Cerritos, CA 90703-5340 - Phone
- (562) 860-1504
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000501 | CA | Practitioner - Qualified Audiologist | 2365449592 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1794 | CA | MD | Audiologist-Hearing Aid Fitter |
| HA4147 | CA | MD | Hearing Instrument Specialist |
| 1794 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonus-USA, Inc. | Audiologist-Hearing Aid Fitter | Past |
Accepting new patients |
| Adapt Hearing Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU1794 | CA | Yes |
| Hearing Instrument Specialist | 237700000X | HA4147 | CA |
Addresses
Primary practice location
10929 South St
Ste 202B
Cerritos, CA 90703-5340
Mailing address
5912 Bolsa Ave
Ste 201
Huntington Beach, CA 92649-1146
Phone (714) 898-5732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0017940 | Medicaid | CA |
Other providers in Cerritos, CA
- Salve Romasanta Bautista
- Bay Area Radiology, PC
- Abigail Uyan Bayona
- Evelyn Melisa Bazan Chavez
- Anne-Marie Beaulieu
- Gisela Bedolla
- Dawn Louise Beechner
- Jaila Bell
- Bell'S Island
- Bella'S Compassionate Hospice Inc
All providers in Cerritos, CA · Audiologist-Hearing Aid Fitter in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.