Organization Active NPI

Shurson Hearing and Speech Center

  • Speech-Language Pathologist
  • Visalia, CA
National Provider Identifier
1356672380
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP23359 Issued in CA
Legal business name
SHURSON HEARING AND SPEECH CENTER
Practice address
2316 W Whitendale Ave Ste a
Visalia, CA 93277-6131
Phone
(559) 625-8960
Fax
(559) 625-8962
NPI assigned
Jan 14, 2010
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dolores Maria Maldonado
Title
Manager
Phone
(559) 625-8960

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP23359 CA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP1018 CA
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AU510 CA
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X HA1145 CA

Addresses

Primary practice location

2316 W Whitendale Ave Ste a
Visalia, CA 93277-6131

Mailing address

2316 W Whitendale Ave Ste a
Visalia, CA 93277-6131
Phone (559) 625-8960

Other identifiers 1

IdentifierTypeStateIssuer
4034915MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1356672380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 W WHITENDALE AVE STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776131",
            "telephone_number": "559-625-8960",
            "fax_number": "559-625-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W WHITENDALE AVE STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776131",
            "telephone_number": "559-625-8960",
            "fax_number": "559-625-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHURSON HEARING AND SPEECH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-625-8960"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP23359",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP1018",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU510",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA1145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4034915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.