Individual provider Active NPI

Peter Paul Vidal

  • Hearing Instrument Specialist
  • Burbank, CA
National Provider Identifier
1174157812
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8611 Issued in CA
Practice address
2031 W Alameda Ave Ste 340
Burbank, CA 91506-2960
Phone
(818) 736-5023
NPI assigned
Mar 2, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 8611 CA Primary

Addresses

Primary practice location

2031 W Alameda Ave Ste 340
Burbank, CA 91506-2960

Mailing address

417 Allen Ave
Glendale, CA 91201-2503
Phone (818) 281-0341

Other practice location 1

17800 Castleton St Ste 264
City Of Industry, CA 91748-6401
Phone (626) 865-7400

Other practice location 2

8944 Tampa Ave
Northridge, CA 91324-3521
Phone (818) 717-8215

Other practice location 3

23440 Hawthorne Blvd Ste 265
Torrance, CA 90505-4780
Phone (310) 375-8165

Other practice location 4

301 W Huntington Dr Ste 615
Arcadia, CA 91007-3494
Phone (626) 445-7659

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
8611CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Past Accepting new patients
Hearx West Inc Past Accepting new patients
Hearx West, LLC PastSince Oct 7, 2020 Accepting new patients
Accuquest Hearing Center, LLC Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 4

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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1174157812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ALLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012503",
            "telephone_number": "818-281-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE STE 340",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062960",
            "telephone_number": "818-736-5023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Castleton St Ste 264",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917486401",
            "country_code": "US",
            "telephone_number": "626-865-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8944 Tampa Ave",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913243521",
            "country_code": "US",
            "telephone_number": "818-717-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23440 Hawthorne Blvd Ste 265",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054780",
            "country_code": "US",
            "telephone_number": "310-375-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Huntington Dr Ste 615",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073494",
            "country_code": "US",
            "telephone_number": "626-445-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "PETER PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.