NPIMap

Organization Active NPI

Newport Mesa Audiology Inc

  • Audiologist-Hearing Aid Fitter
  • Newport Beach, CA
National Provider Identifier
1144385998
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD379 Issued in CA
Legal business name
NEWPORT MESA AUDIOLOGY INC
Practice address
500 Old Newport Boulevard
Ste 101
Newport Beach, CA 92663
Phone
(949) 642-7935
Fax
(949) 642-2950
NPI assigned
Dec 22, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Howard Thomas Mango, AUD PHDNPI 1013174929
Title
Executive Director
Phone
(949) 642-7935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD379 CA Primary

Addresses

Primary practice location

500 Old Newport Boulevard
Ste 101
Newport Beach, CA 92663

Mailing address

500 Old Newport Boulevard
Ste 101
Newport Beach, CA 92663
Phone (949) 642-7935

Other identifiers 2

IdentifierTypeStateIssuer
HA1235OtherCAHEARING DESPENSING LIC#
AUD0003790MedicaidCA

Other names 1

  • Newport Mesa Audiology Balance and Ear Institute Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000080 CA Part B Supplier - Clinic/Group Practice 7911066725 Receives reassigned benefits from 7 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 274-8399

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBA

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144385998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BOULEVARD",
            "address_2": "STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BOULEVARD",
            "address_2": "STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MESA AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MANGO",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-642-7935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD PHD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AUD379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING DESPENSING LIC#",
            "identifier": "HA1235",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AUD0003790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Mesa Audiology Balance and Ear Institute Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.