Active NPI
Hearing and Balance Center Inc
- Audiologist-Hearing Aid Fitter
- Encino, CA
National Provider Identifier
1124425855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU1135
- Legal business name
- HEARING AND BALANCE CENTER INC
- Practice address
- 16311 Ventura Blvd
Suite 841
Encino, CA 91436-2124 - Phone
- (818) 981-7464
- Fax
- (818) 981-6328
- NPI assigned
- Nov 24, 2014
- 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
- Denise Vitullo
- Title
- Billing Manager
- Phone
- (818) 917-4165
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD1135A | CA | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AUD1135A | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD1135A | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AU1135 | CA | Primary |
| Hearing Instrument Specialist | 237700000X | AUD1135A | CA |
Addresses
Primary practice location
16311 Ventura Blvd
Suite 841
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd Ste 841
Encino, CA 91436-4397
Phone (818) 981-7464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821139601 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16311 Ventura Blvd
Ste 841
Encino, CA 91436
Phone (818) 981-7464
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Encino, CA
- NPI 1821139601
-
- Audiologist-Hearing Aid Fitter
- Los Angeles, CA
- NPI 1720122450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1124425855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD STE 841",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364397",
"telephone_number": "818-981-7464",
"fax_number": "818-981-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 841",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-981-7464",
"fax_number": "818-981-6328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARING AND BALANCE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "VITULLO",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "818-917-4165"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AUD1135A",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "CA",
"license": "AUD1135A",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AUD1135A",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU1135",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "AUD1135A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821139601",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.