NPIMap

Organization Active NPI

Wesson, Inc.

  • Hearing Aid Equipment
  • Manteca, CA
National Provider Identifier
1194841429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HA1161 Issued in CA
Legal business name
WESSON, INC.
Practice address
1079 Eucalyptus St
Suite B
Manteca, CA 95337-4369
Phone
(209) 823-2107
Fax
(209) 823-0563
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Douglas Bryan Wesson, ACA
Title
President
Phone
(209) 823-2107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HA1161 CA Primary

Addresses

Primary practice location

1079 Eucalyptus St
Suite B
Manteca, CA 95337-4369

Mailing address

1079 Eucalyptus St
Suite B
Manteca, CA 95337-4369
Phone (209) 823-2107

Other identifiers 1

IdentifierTypeStateIssuer
HA0011610MedicaidCA

Other names 1

  • Wesson Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194841429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS ST",
            "address_2": "SUITE B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374369",
            "telephone_number": "209-823-2107",
            "fax_number": "209-823-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS ST",
            "address_2": "SUITE B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374369",
            "telephone_number": "209-823-2107",
            "fax_number": "209-823-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-823-2107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACA"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0011610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesson Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.