Active NPI
Sylvia R Acevedo-Frey
- Audiologist-Hearing Aid Fitter
- Sun City, CA
National Provider Identifier
1184776262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU661
- Practice address
- 28071 Bradley Rd
Sun City, CA 92586-2207 - Phone
- (951) 821-4911
- Fax
- (951) 679-8259
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU661 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AU661 | CA | Primary |
Addresses
Primary practice location
28071 Bradley Rd
Sun City, CA 92586-2207
Mailing address
5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 898-5732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0006610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28071 Bradley Rd
Sun City, CA 92586-2207
Phone (951) 821-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU661 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Clinic & Speech Health Services & Sales, Inc. | Audiologist | Current | Accepting new patients |
| Sonus-USA, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Adapt Hearing Inc | Past | Accepting new patients | |
| Hearing AIDS Etc | Past | Accepting new patients |
Locations
1700 Alameda St
Pomona, CA 91768
Phone (909) 397-9247
Organizations & group practices 6
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.
-
- Hearing Aid Equipment
- Westminister, CA
- NPI 1760783344
-
- Audiologist
- Pomona, CA
- NPI 1649366501
-
- Hearing and Speech Clinic/Center
- Pomona, CA
- NPI 1942356027
Audiologist
-
- Hearing Aid Equipment
- Glendora, CA
- NPI 1770015083
-
- Hearing Aid Equipment
- West Hills, CA
- NPI 1447330485
-
- Audiologist-Hearing Aid Fitter
- Cerritos, CA
- NPI 1427156116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1184776262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GARDEN GROVE BLVD STE 200",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926838234",
"telephone_number": "714-898-5732",
"fax_number": "714-901-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28071 BRADLEY RD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925862207",
"telephone_number": "951-821-4911",
"fax_number": "951-679-8259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO-FREY",
"first_name": "SYLVIA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU661",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0006610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.