Active NPI
Professional Hearing Associates
- Audiologist-Hearing Aid Fitter
- Poway, CA
National Provider Identifier
1104967967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU 778
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA2468213 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Audiology Center of Tri-City
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist-Hearing Aid Fitter
- Oceanside, CA
- NPI 1356464515
-
- Audiologist
- Escondido, CA
- NPI 1114966132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Escondido, CA
- NPI 1528125754
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.