Robert Der, M.SC.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU1992 Issued in CA

Practice address

1761 Broadway St
Suite 200
Vallejo, CA 94589-2226

Phone

(707) 645-2500

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hearx West Inc

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1336304922
  NPD (past)
• Hearx West, LLC

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1356398598
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1184781403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892226",
            "telephone_number": "707-645-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DER",
        "first_name": "ROBERT",
        "credential": "M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "975 Sereno Dr",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945892441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Areanna Deloney
• Lydia Deng
• Lisa Denny, LCSW
• Dental Office of Mounir N. Guirguis DDS, Inc.
• Benjamin Denton-Schneider
• Olympia Descallar
• Bernard Urbain Deschuytter, O.D.
• Jennifer N Despres, CNM, NP
• Stephanie Monique Deveaux
• Developing Organizing Visions for Everyone

• Audiologist-Hearing Aid Fitter in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.