Organization Active NPI

Professional Hearing Associates

  • Audiologist-Hearing Aid Fitter
  • Poway, CA
National Provider Identifier
1104967967
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU 778 Issued in CA
Legal business name
PROFESSIONAL HEARING ASSOCIATES
Practice address
15725 Pomerado Rd Ste 114
Poway, CA 92064-2058
Phone
(858) 451-3277
Fax
(858) 451-6743
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Rachael Boles
Title
Office Manager
Phone
(760) 489-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AU 778 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 114
Poway, CA 92064-2058

Mailing address

15725 Pomerado Rd Ste 114
Poway, CA 92064-2058
Phone (858) 451-3277

Other identifiers 1

IdentifierTypeStateIssuer
HA2468213MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Audiology Center of Tri-City3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1104967967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 114",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "858-451-3277",
            "fax_number": "858-451-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 114",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "858-451-3277",
            "fax_number": "858-451-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-489-6901"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA2468213",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.