Individual provider Active NPI

Dana Alkhandak

  • Audiologist
  • Corona, CA
National Provider Identifier
1235903188
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3856 Issued in CA
Practice address
802 Magnolia Ave Ste 208
Corona, CA 92879-3157
Phone
(951) 736-1630
NPI assigned
Nov 10, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3856 CA Primary

Addresses

Primary practice location

802 Magnolia Ave Ste 208
Corona, CA 92879-3157

Mailing address

5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 804-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716002094 CA Practitioner - Qualified Audiologist 5698280808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3856CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc CurrentSince May 3, 2025 Accepting new patients

Locations

802 Magnolia Ave
Ste 208
Corona, CA 92879
Phone (951) 736-1630

3980 W Florida Ave
Ste 102
Hemet, CA 92545
Phone (951) 925-9948

603 E Latham Ave
Unit B
Hemet, CA 92543
Phone (951) 925-9948

28071 Bradley Rd
Sun City, CA 92586
Phone (951) 679-1139

1425 W Foothill Blvd
Ste 110
Upland, CA 91786
Phone (909) 946-6856

5555 Garden Grove Blvd
Ste 200
Westminster, CA 92683
Phone (714) 804-5725

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235903188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GARDEN GROVE BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838234",
            "telephone_number": "714-804-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 208",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793157",
            "telephone_number": "951-736-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHANDAK",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.