East Valley Audiology

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

EAST VALLEY AUDIOLOGY

Practice address

191 So. Buena Vista
Suite 320-a
Burbank, CA 91505

Phone

(818) 559-9580

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren S. Line Jr.NPI 1205918588

Title

President

Phone

(818) 559-9727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vardush Keshishyan, M.A.

  • Audiologist
  • Glendale, CA
  • NPI 1932137023
  Medicare reassignment NPD
• Warren Scott Line Jr., MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Burbank, CA
  • NPI 1205918588
  Authorized official Same address or phone
• Dina C. Miller, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Burbank, CA
  • NPI 1376525071
  NPD
• Ann Grosch, HA 8179

  • Audiologist-Hearing Aid Fitter
  • Burbank, CA
  • NPI 1114467255
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1295123669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SO. BUENA VISTA",
            "address_2": "SUITE 320-A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-559-9580",
            "fax_number": "818-559-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SO. BUENA VISTA",
            "address_2": "SUITE 320-A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-559-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LINE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-559-9727",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassandra Eandi, M.S. CCC-SLP
• Tanya Elaine Earl Buer, LMFT
• East Valley Hematolgy and Oncology Medical Group Inc.
• East Valley Hematology Oncology Medical Group
• Mathew Easter, RDH
• Easy Life Home Health Care, Inc.
• Colin Thomas Ebeling, LMFT

• Audiologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.