Ossama Ibrahim Boulos, PH.D.
Individual provider Active NPI Audiologist · Camp Pendleton, CA
NPI 1114943404 · NPPES record last updated Jan 27, 2026
Key facts
- NPI
- 1114943404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A1027 (OH)
- Practice address
- 200 Mercy Circle
Camp Pendleton, CA 92055 - Phone
- (760) 719-4748
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1027 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Audiologist | Past | Accepting new patients |
| Hearusa Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A1027 | OH | Yes |
Addresses
Primary practice location
200 Mercy Circle
Camp Pendleton, CA 92055
Mailing address
200 Mercy Circle
Camp Pendleton, CA 92055
Phone (760) 719-4748
Other providers in Camp Pendleton, CA
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- Tara Boone
- Percival Gimenez Boral
- Geoffrey Paul Bork
- Ryan Boudreau
- Bryce Allen Bowers
- Olivia Grace Bradford
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- Branch Dental Clinic Chappo
- Branch Dental Clinic Delmar
All providers in Camp Pendleton, CA · Audiologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.