Individual provider Active NPI

Wanda E Eurasquin

  • Hearing Instrument Specialist
  • Pasadena, CA
National Provider Identifier
1154378487
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA5066 Issued in CA
Practice address
960 E Green St Ste L-80
Pasadena, CA 91106-2442
Phone
(951) 582-4609
Fax
(951) 393-1753
NPI assigned
May 30, 2006
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 HA5066 CA Primary

Addresses

Primary practice location

960 E Green St Ste L-80
Pasadena, CA 91106-2442

Mailing address

960 E Green St Ste L-80
Pasadena, CA 91106-2442
Phone (951) 582-4609

Other identifiers 1

IdentifierTypeStateIssuer
HA0050660MedicaidCA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Heal, Inc Hearing Instrument Specialist CurrentSince Jun 1, 2021 Accepting new patients
WSM Hearing Centers of Orange County, Inc Hearing Instrument Specialist PastSince Sep 10, 2010 Accepting new patients
Sonus-USA, Inc. Past Accepting new patients

Locations

31500 Grape St
Ste 3
Lake Elsinore, CA 92532

960 E Green St
Ste L-80
Pasadena, CA 91106
Phone (626) 793-1179

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1154378487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-80",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062442",
            "telephone_number": "951-582-4609",
            "fax_number": "951-582-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-80",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062442",
            "telephone_number": "951-582-4609",
            "fax_number": "951-393-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EURASQUIN",
        "first_name": "WANDA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA5066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0050660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.