NPIMap

Organization Active NPI

Mendocino Lake Hearing Care, Inc

Doing business as Mendocino Lake Audiology

  • Audiologist-Hearing Aid Fitter
  • Ukiah, CA
National Provider Identifier
1174250807
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MENDOCINO LAKE HEARING CARE, INC
Doing business as
Mendocino Lake Audiology
Practice address
756 S Dora St
Ukiah, CA 95482-5336
Phone
(707) 463-2966
Fax
(707) 463-2970
NPI assigned
Aug 3, 2022
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Candi Paola Barrera, HISNPI 1003562919
Title
Owner/Hearing Instrument Specialist
Phone
(707) 463-2966

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

756 S Dora St
Ukiah, CA 95482-5336

Mailing address

756 S Dora St
Ukiah, CA 95482-5336
Phone (707) 463-2966

Other practice location 1

200 Lakeport Blvd
Lakeport, CA 95453-5425
Phone (707) 263-9428

Other names 1

  • Mendocino Lake Audiology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mlaudiology756@yahoo.com

National Provider Directory

National Provider Directory

Locations

200 Lakeport Blvd
Lakeport, CA 95453
Phone (707) 263-9428

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1174250807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825336",
            "telephone_number": "707-463-2966",
            "fax_number": "707-463-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825336",
            "telephone_number": "707-463-2966",
            "fax_number": "707-463-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lakeport Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954535425",
            "country_code": "US",
            "telephone_number": "707-263-9428",
            "fax_number": "707-263-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDOCINO LAKE HEARING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "CANDI",
        "authorized_official_middle_name": "PAOLA",
        "authorized_official_title_or_position": "OWNER/HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "707-463-2966",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mlaudiology756@yahoo.com",
            "affiliation": "N",
            "address_1": "756 S Dora St",
            "city": "Ukiah",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954825336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mendocino Lake Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mendocino Lake Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.