Active NPI
Procare Health Services, Inc.
- Audiologist
- North Hills, CA
National Provider Identifier
1295873990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1422
- Legal business name
- PROCARE HEALTH SERVICES, INC.
- Practice address
- 15034 Providence LN
North Hills, CA 91343-3477 - Phone
- (818) 773-9080
- Fax
- (818) 895-8625
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dianne Vernalene Smith, M.S.
- Title
- Administrator
- Phone
- (818) 773-9080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1422 | CA | Primary |
Addresses
Primary practice location
15034 Providence LN
North Hills, CA 91343-3477
Mailing address
15034 Providence LN
North Hills, CA 91343-3477
Phone (818) 773-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAU000840 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- North Hills, CA
- NPI 1710025432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295873990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15034 PROVIDENCE LN",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433477",
"telephone_number": "818-773-9080",
"fax_number": "818-895-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15034 PROVIDENCE LN",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433477",
"telephone_number": "818-773-9080",
"fax_number": "818-895-8625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCARE HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "VERNALENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-773-9080",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU1422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GAU000840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.