Organization Active NPI

Coast Hearing Services, a Professional Corp

  • Audiologist
  • Corona del Mar, CA
National Provider Identifier
1366607913
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1223 Issued in CA
Legal business name
COAST HEARING SERVICES, A PROFESSIONAL CORP
Practice address
3545 E Coast Hwy
Corona del Mar, CA 92625-2404
Phone
(949) 675-3833
Fax
(949) 723-4822
NPI assigned
Jul 23, 2008
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Donna Felker Cody, AU.DNPI 1760453880
Title
Audiologist
Phone
(949) 675-3833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1223 CA Primary
Audiologist-Hearing Aid Fitter 237600000X HA2780 CA

Addresses

Primary practice location

3545 E Coast Hwy
Corona del Mar, CA 92625-2404

Mailing address

3545 E Coast Hwy
Corona del Mar, CA 92625-2404
Phone (949) 675-3833

Other names 1

  • Coast Hearing Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130719000220 CA Part B Supplier - Clinic/Group Practice 1052552924 Receives reassigned benefits from 1 practitioner
Practice locations: Corona del Mar, CA

National Provider Directory

National Provider Directory

Locations

3545 E Coast Hwy
Corona del Mar, CA 92625
Phone (949) 675-3833

Practitioners & affiliated clinicians

Practitioners 1

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": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1366607913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 E COAST HWY",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252404",
            "telephone_number": "949-675-3833",
            "fax_number": "949-723-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 E COAST HWY",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252404",
            "telephone_number": "949-675-3833",
            "fax_number": "949-723-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST HEARING SERVICES, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "FELKER",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "949-675-3833",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1223",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA2780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Hearing Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.