Active NPI
Mitchel Concepcion
- Hearing Instrument Specialist
- Stockton, CA
National Provider Identifier
1306245907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA4021
- Practice address
- 880 W Benjamin Holt Dr
Stockton, CA 95207-3652 - Phone
- (209) 952-9950
- Fax
- (209) 952-9958
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA4021 | CA | Primary |
Addresses
Primary practice location
880 W Benjamin Holt Dr
Stockton, CA 95207-3652
Mailing address
880 W Benjamin Holt Dr
Stockton, CA 95207-3652
Phone (209) 952-9950
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
| License | State | Type | Specialty |
|---|---|---|---|
| HA4021 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hearing Systems LLC | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Stockton, CA
- NPI 1831460583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1306245907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W BENJAMIN HOLT DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073652",
"telephone_number": "209-952-9950",
"fax_number": "209-952-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 W BENJAMIN HOLT DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073652",
"telephone_number": "209-952-9950",
"fax_number": "209-952-9958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "MITCHEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA4021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.