Individual provider Active NPI

David Ford

  • Hearing Instrument Specialist
  • Murrieta, CA
National Provider Identifier
1134880875
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8630 Issued in CA
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

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063630614OtherCAMEDI-CAL / IEHP

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
8630CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
FJS Hearing Professionals Hearing Instrument Specialist PastSince Jan 17, 2022 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.

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.

Verify at the official NPI Registry.