Individual provider Active NPI

Dennis Dale Van Vliet, AU.D.

  • Audiologist
  • Yorba Linda, CA
National Provider Identifier
1386685154
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU368 Issued in CA
Practice address
17021 Yorba Linda Blvd
Suite 130
Yorba Linda, CA 92886-3743
Phone
(714) 579-0717
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU368 CA Primary

Addresses

Primary practice location

17021 Yorba Linda Blvd
Suite 130
Yorba Linda, CA 92886-3743

Mailing address

17021 Yorba Linda Blvd
Suite 130
Yorba Linda, CA 92886-3743
Phone (714) 579-0717

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU368CAMDAudiologist
368CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince Mar 28, 2018 Accepting new patients
Hearusa Inc Past Accepting new patients
Hearusa Inc Audiologist Past Accepting new patients
Hearx West Inc Past Accepting new patients

Locations

7040 Avenida Encinas
Ste 103
Carlsbad, CA 92011
Phone (760) 405-8275

8341 Laurel Canyon Blvd
Sun Valley, CA 91352
Phone (818) 768-6447

16490 Beach Blvd
Westminster, CA 92683
Phone (714) 843-9797

Dept 3316
Carol Stream, IL 60132

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386685154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "SUITE 130",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863743",
            "telephone_number": "714-579-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "SUITE 130",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863743",
            "telephone_number": "714-579-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VLIET",
        "first_name": "DENNIS",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.