Organization Active NPI

Temecula Hearing Center, Inc.

  • Audiologist
  • Temecula, CA
National Provider Identifier
1366524936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU968 Issued in CA
Legal business name
TEMECULA HEARING CENTER, INC.
Practice address
27349 Jefferson Ave
#112
Temecula, CA 92590-5634
Phone
(951) 296-5690
Fax
(951) 296-5693
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Francis Stejkal, M.S., CCC-A
Title
Audiologist
Phone
(951) 296-5690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AU968 CA Primary

Addresses

Primary practice location

27349 Jefferson Ave
#112
Temecula, CA 92590-5634

Mailing address

27349 Jefferson Ave
#112
Temecula, CA 92590-5634
Phone (951) 296-5690

Other identifiers 1

IdentifierTypeStateIssuer
4594692OtherCAAETNA ID#

National Provider Directory

National Provider Directory

Locations

27349 Jefferson Ave
Ste 112
Temecula, CA 92590
Phone (951) 296-5690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366524936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE",
            "address_2": "#112",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905634",
            "telephone_number": "951-296-5690",
            "fax_number": "951-296-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE",
            "address_2": "#112",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905634",
            "telephone_number": "951-296-5690",
            "fax_number": "951-296-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEJKAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "951-296-5690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "4594692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, 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.

Verify at the official NPI Registry.