Active NPI
Robert a Rachal
- Hearing Instrument Specialist
- Lake Isabella, CA
National Provider Identifier
1184840209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA0030350
- Legal business name
- ROBERT A RACHAL
- Doing business as
- VALLEY HEARING CENTER
- Practice address
- 6040 B Lake Isabella Blvd
Lake Isabella, CA 93240 - Phone
- (760) 379-5532
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert A Rachal, BC-HIS
- Title
- Provider Administrator
- Phone
- (760) 379-5532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA0030350 | CA | Primary |
Addresses
Primary practice location
6040 B Lake Isabella Blvd
Lake Isabella, CA 93240
Mailing address
PO Box 2955
Lake Isabella, CA 93240-2955
Phone (760) 379-5532
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | CA | SSN |
| HA0030350 | Medicaid | CA | |
| HA3035 | Other | CA | LICENSE |
Other names 1
- VALLEY HEARING CENTER
National Provider Directory
National Provider DirectoryLocations
6040 Lake Isabella Blvd
#B
Lake Isabella, CA 93240
Phone (760) 379-5532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1184840209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2955",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932402955",
"telephone_number": "760-379-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 B LAKE ISABELLA BLVD",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "93240",
"telephone_number": "760-379-5532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A RACHAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-05-21",
"status": "A",
"authorized_official_last_name": "RACHAL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PROVIDER ADMINISTRATOR",
"authorized_official_telephone_number": "760-379-5532",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BC-HIS"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA0030350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0030350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "HA3035",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY HEARING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Isabella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.