Cheridan Bartkoski
Individual provider Active NPI Hearing Instrument Specialist · Fallbrook, CA
NPI 1164030268 · NPPES record last updated Jul 15, 2020
Key facts
- NPI
- 1164030268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- HA8536 (CA)
- Practice address
- 1104 S Main Ave
Fallbrook, CA 92028-3325 - Phone
- (760) 645-6570
- NPI assigned
- Jul 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA8536 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Consumer Hearing Corporation | Single Specialty | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist |
237700000X | HA8536 | CA | Yes |
Addresses
Primary practice location
1104 S Main Ave
Fallbrook, CA 92028-3325
Mailing address
323 Falabella LN
Fallbrook, CA 92028-5708
Phone (714) 423-6934
Other providers in Fallbrook, CA
- William Andrew Atkins
- Brenda Avalos
- Roja Babaei
- Braian Jonue Ballesteros
- Christina Baronov
- Be Well Family Health Care, Inc.
- Grace Beougher
- Alvaro Berrios
- Jackie Bestmann
- Beverly Radiology Medical Group
All providers in Fallbrook, CA · Hearing Instrument Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.