Elk Grove Hearing Care

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU2591 Issued in CA

Legal business name

ELK GROVE HEARING CARE

Practice address

9300 W Stockton Blvd Ste 103
Elk Grove, CA 95758-8070

Phone

(916) 627-1494

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Phillips White, HIS

Title

Owner/Dispenser

Phone

(916) 627-1494

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1275918542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD STE 103",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-627-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD STE 103",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-627-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "OWNER/DISPENSER",
        "authorized_official_telephone_number": "916-627-1494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2591",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1881844298",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1295154326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.