Univ Head & Neck Surgeon

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU1556 Issued in CA

Legal business name

UNIV HEAD & NECK SURGEON

Practice address

101 The City Dr S
Orange, CA 92868-3201

Phone

(714) 456-7017

NPI assigned

Dec 4, 2007

Organization subpart

Yes

Parent organization

UNIVERSITY HEAD & NECK SURGERYAs reported in NPPES

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

Authorized official

Name

Alicia Traktman, AUD

Title

Audiologist

Phone

(714) 456-3083

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

University Head and Nec3 organizations share this tax ID, including this one

Part of

University Head and Nec

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• University Head & Neck Surgeons

  • Medical Specialty Clinic/Center
  • Tustin, CA
  • NPI 1255707451
  NPD tax ID
• University Head & Neck Surgeons

  • Otolaryngology Physician
  • Irvine, CA
  • NPI 1801286935
  NPD tax ID

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1356523153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513700",
            "telephone_number": "714-456-6655",
            "fax_number": "714-456-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV HEAD & NECK SURGEON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HEAD & NECK SURGERY",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "TRAKTMAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "714-456-3083",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU000750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Sabrina Ung
• Nolan Ryan Ung
• Unilab Corporation
• United Surgery Center Main LLC
• United Surgery Center-Orange LLC
• Universal Health Net
• University California Irvine Medical Center
• University Head & Neck Surgeons
• University of California - Irvine Medical Center
• University of California at Irvine Medical Center

• Audiologist-Hearing Aid Fitter in Orange, CA
• Providers in Orange, 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 Dec 4, 2007; 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.