Individual provider Active NPI

Jeffrey Wolmer, H.I.S.

  • Hearing Instrument Specialist
  • Poway, CA
National Provider Identifier
1366571986
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA5028 Issued in CA
Practice address
13342 Poway Rd
Poway, CA 92064-4626
Phone
(858) 391-1224
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA5028 CA Primary

Addresses

Primary practice location

13342 Poway Rd
Poway, CA 92064-4626

Mailing address

11830 Cypress Canyon Rd # 1
San Diego, CA 92131-3735
Phone (858) 455-9531

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

LicenseStateTypeSpecialty
HA5028CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1366571986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 CYPRESS CANYON RD # 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313735",
            "telephone_number": "858-455-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13342 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644626",
            "telephone_number": "858-391-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLMER",
        "first_name": "JEFFREY",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.