Individual provider Active NPI

Achintya Bhowmik, HIS

  • Hearing Instrument Specialist
  • Laguna Woods, CA
National Provider Identifier
1225847650
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5660 Issued in CA
Practice address
24310 Moulton Pkwy Ste D
Laguna Woods, CA 92637-3306
Phone
(949) 830-5330
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 5660 CA
Hearing Instrument Specialist 237700000X 5660 CA Primary

Addresses

Primary practice location

24310 Moulton Pkwy Ste D
Laguna Woods, CA 92637-3306

Mailing address

14377 Old Wood Rd
Saratoga, CA 95070-5631
Phone (952) 947-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1225847650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 OLD WOOD RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705631",
            "telephone_number": "952-947-4916",
            "fax_number": "952-995-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PKWY STE D",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373306",
            "telephone_number": "949-830-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOWMIK",
        "first_name": "ACHINTYA",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "5660",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.