Active NPI
Jesse A. Warda
- Hearing Instrument Specialist
- Roseville, CA
National Provider Identifier
1154873370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 7934
- Practice address
- 807 Douglas Blvd Ste 100
Roseville, CA 95678-2763 - Phone
- (916) 773-9148
- Fax
- (916) 773-9150
- NPI assigned
- Nov 4, 2016
- 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 | 7934 | CA | Primary |
Addresses
Primary practice location
807 Douglas Blvd Ste 100
Roseville, CA 95678-2763
Mailing address
215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380
Other practice location 1
1260 Healdsburg Ave Ste 202
Healdsburg, CA 95448-3409
Phone (707) 433-0705
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1154873370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638123",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 DOUGLAS BLVD STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956782763",
"telephone_number": "916-773-9148",
"fax_number": "916-773-9150"
}
],
"practiceLocations": [
{
"address_1": "1260 Healdsburg Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Healdsburg",
"state": "CA",
"postal_code": "954483409",
"country_code": "US",
"telephone_number": "707-433-0705",
"fax_number": "707-433-7595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARDA",
"first_name": "JESSE",
"middle_name": "A.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "7934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.