Active NPI
Thomas Alan Wise, AU.D.
- Audiologist-Hearing Aid Fitter
- Rancho Cucamonga, CA
National Provider Identifier
1194155325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU 2930
- Practice address
- 9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255 - Phone
- (909) 989-4800
- Fax
- (909) 989-4883
- NPI assigned
- Nov 25, 2013
- Sex
- Male
- 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-Hearing Aid Fitter | 237600000X | AU 2930 | CA | Primary |
| Audiologist | 231H00000X | AU2930 | CA |
Addresses
Primary practice location
9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255
Mailing address
9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255
Phone (909) 989-4800
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9033 Base Line Rd F
Rancho Cucamonga, CA 91730-1214
9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1214
Phone (909) 989-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2930 | CA | MD | Audiologist |
| AU 2930 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Audiological Services Inc | Current | Accepting new patients |
Locations
9033 Base Line Rd
Ste F
Rch Cucamonga, CA 91730
Phone (909) 987-2528
Organizations & group practices 1
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
- Rancho Cucamonga, CA
- NPI 1801986617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1194155325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 BASELINE RD",
"address_2": "SUITE F",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301255",
"telephone_number": "909-989-4800",
"fax_number": "909-989-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 BASELINE RD",
"address_2": "SUITE F",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301255",
"telephone_number": "909-989-4800",
"fax_number": "909-989-4883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "THOMAS",
"middle_name": "ALAN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-25",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU 2930",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.