Active NPI
Mika Moore, AU.D.
- Audiologist-Hearing Aid Fitter
- Newport Beach, CA
National Provider Identifier
1114049285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1873
- Practice address
- 520 Superior Ave
Ste. 190
Newport Beach, CA 92663-3637 - Phone
- (949) 548-0352
- Fax
- (949) 548-4839
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1873 | CA | Primary |
Addresses
Primary practice location
520 Superior Ave
Ste. 190
Newport Beach, CA 92663-3637
Mailing address
1301 W Providence Ave
Orange, CA 92868-3808
Phone (714) 923-1527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA3913 | Other | CA | HEARING AID DISPENSER |
| AU1873 | Other | CA | STATE LICENSE |
Other names 1
- Mika Winkle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hearing Speech and Language Center | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| WSM Hearing Centers of Orange County, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Lakewood, CA
- NPI 1598854846
-
- Hearing Instrument Specialist
- Anaheim, CA
- NPI 1164730305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1114049285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W PROVIDENCE AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683808",
"telephone_number": "714-923-1527",
"fax_number": "714-744-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE",
"address_2": "STE. 190",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633637",
"telephone_number": "949-548-0352",
"fax_number": "949-548-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MIKA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "1873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER",
"identifier": "HA3913",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AU1873",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIKA",
"last_name": "WINKLE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.