Organization Active NPI

Crystal Clear Hearing AIDS

  • Hearing Instrument Specialist
  • Anaheim, CA
National Provider Identifier
1386004539
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8028 Issued in CA
Legal business name
CRYSTAL CLEAR HEARING AIDS
Practice address
3855 E la Palma Ave Ste 116
Anaheim, CA 92807-1700
Phone
(714) 630-7800
Fax
(714) 630-7803
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Mr. David Longeuay, HEARINGAID DISPENSERNPI 1356716708
Title
Owner/Hearing Aid Dispenser
Phone
(714) 630-7800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HA8028 CA Primary

Addresses

Primary practice location

3855 E la Palma Ave Ste 116
Anaheim, CA 92807-1700

Mailing address

3855 E la Palma Ave Ste 116
Anaheim, CA 92807-1700
Phone (714) 630-7800

Other identifiers 2

IdentifierTypeStateIssuer
1356716708OtherCANPI TYPE 1
1386004539OtherCANPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1386004539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 E LA PALMA AVE STE 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071700",
            "telephone_number": "714-630-7800",
            "fax_number": "714-630-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 E LA PALMA AVE STE 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071700",
            "telephone_number": "714-630-7800",
            "fax_number": "714-630-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR HEARING AIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "LONGEUAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/HEARING AID DISPENSER",
        "authorized_official_telephone_number": "714-630-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HEARINGAID DISPENSER"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1356716708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1386004539",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.