Active NPI
David Ford
- Hearing Instrument Specialist
- Murrieta, CA
National Provider Identifier
1134880875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 8630
- Practice address
- 39875 Alta Murrieta Dr Ste E1
Murrieta, CA 92563-5445 - Phone
- (951) 296-1177
- Fax
- (951) 296-1177
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 8630 | CA | Primary |
Addresses
Primary practice location
39875 Alta Murrieta Dr Ste E1
Murrieta, CA 92563-5445
Mailing address
39875 Alta Murrieta Dr Ste E1
Murrieta, CA 92563-5445
Phone (951) 296-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630614 | Other | CA | MEDI-CAL / IEHP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david@miracle-earca.com | FJS HEARING PROFESSIONALS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8630 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FJS Hearing Professionals | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Apple Valley, CA
- NPI 1063630614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1134880875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39875 ALTA MURRIETA DR STE E1",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925635445",
"telephone_number": "951-296-1177",
"fax_number": "951-296-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39875 ALTA MURRIETA DR STE E1",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925635445",
"telephone_number": "951-296-1177",
"fax_number": "951-296-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "8630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL / IEHP",
"identifier": "1063630614",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david@miracle-earca.com",
"affiliation": "Y",
"affiliationName": "FJS HEARING PROFESSIONALS",
"address_1": "39875 Alta Murrieta Dr Ste E1",
"city": "Murrieta",
"state": "CA",
"country_code": "US",
"postal_code": "925635445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.