Individual provider Active NPI

Amy Elizabeth Lopez, HAD

  • Hearing Instrument Specialist
  • La Palma, CA
National Provider Identifier
1245813146
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8648 Issued in CA
Practice address
30 Centerpointe Dr Ste 9a
La Palma, CA 90623-2577
Phone
(714) 562-9950
Fax
(714) 562-9956
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA8648 CA Primary

Addresses

Primary practice location

30 Centerpointe Dr Ste 9a
La Palma, CA 90623-2577

Mailing address

5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 898-5732

Other practice location 1

2530 Atlantic Ave Ste D
Long Beach, CA 90806-2741
Phone (562) 426-2137

Other identifiers 1

IdentifierTypeStateIssuer
HA8648OtherCASPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD

Other names 1

  • Amy Elizabeth Pozo Castillo Former name

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

State licenses

LicenseStateTypeSpecialty
HA8648CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc Hearing Instrument Specialist CurrentSince May 16, 2021 Accepting new patients

Locations

30 Centerpointe Dr
Ste 9A
La Palma, CA 90623
Phone (714) 562-9950

2530 Atlantic Ave
Ste D
Long Beach, CA 90806
Phone (562) 426-0401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1245813146",
    "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": "714-898-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTERPOINTE DR STE 9A",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232577",
            "telephone_number": "714-562-9950",
            "fax_number": "714-562-9956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Atlantic Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062741",
            "country_code": "US",
            "telephone_number": "562-426-2137",
            "fax_number": "562-426-2512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
            "identifier": "HA8648",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "POZO CASTILLO",
            "middle_name": "ELIZABETH",
            "credential": "HAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.