Kent E Weaver, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU3093 Issued in CA

Practice address

26726 Crown Valley Pkwy
#210
Mission Viejo, CA 92691-8006

Phone

(959) 364-4361

Fax

(949) 364-7124

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Physicians Hearing Services IncGroup PAC ID 5395771901, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kent.weaver.p19@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: kent.weaver.p21@direct.monarchhealthcare.nextgenshare.com

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.

• Orange County Physicians Hearing Services Inc

  • Audiologist
  • Mission Viejo, CA
  • NPI 1750324554
  Medicare reassignment Care Compare group NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1336279157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918006",
            "telephone_number": "959-364-4361",
            "fax_number": "949-364-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918006",
            "telephone_number": "959-364-4361",
            "fax_number": "949-364-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KENT",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00461",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "00744",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3093",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262824",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Leigh Watford, PHD
• Mark Elliot Watters, DC
• Jacqlyn Quintina Wax, PSY.D
• Edgar Morris Wayne II, M.D.
• Marisa Wayt, MS,PA-C
• Beth Weber, MA
• Paul A Wehrle, M.D.
• Kelsey Wehrmann, BC-PMHNP, BSN, RN
• Catherine Anne Weien, RN, BSN, IBCLC
• Reannin M Weinstein, MSW

• Audiologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.