Gary L Shasky, AU.D, F-AAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1361 Issued in CA

Practice address

5565 Grossmont Center Dr
BLDG 3 Ste153
La Mesa, CA 91942-3020

Phone

(619) 589-5414

Fax

(619) 589-7391

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• American Hearing Aid Center of the South Bay, Inc

  • Audiologist-Hearing Aid Fitter
  • San Diego, CA
  • NPI 1093091662
  NPD
• Serendipity Hearing Inc

  • Hearing Aid Equipment
  • Westminister, CA
  • NPI 1760783344

  Audiologist-Hearing Aid Fitter

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1124050794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 SLEEPY WIND ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212935",
            "telephone_number": "310-989-3092",
            "fax_number": "805-530-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 STE153",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-589-5414",
            "fax_number": "619-589-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASKY",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "AU.D, F-AAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124050794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharp Rees-Stealy Medical Group Inc
• Sharp Rees-Stealy Medical Group Inc
• Sharp Rees-Stealy Medical Group Inc
• Sarah Sharp, MS
• Haitham Shasha
• Ammar Shawkat
• Michelle Lee Sheehan, RT
• Timothy Shen, DMD
• Lindsey Sheridan, M.A. CCC-SLP
• Sherin C. Johnson, D.D.S., Inc.

• Audiologist-Hearing Aid Fitter in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.