Organization Active NPI

Conejo Hearing Center, Inc.

  • Audiologist-Hearing Aid Fitter
  • Westlake Village, CA
National Provider Identifier
1386934305
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2027 Issued in CA
Legal business name
CONEJO HEARING CENTER, INC.
Practice address
5655 Lindero Canyon Rd Ste 503
Westlake Village, CA 91362-7358
Phone
(818) 991-3800
Fax
(818) 991-3870
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Christine WilsonNPI 1891889580
Title
Owner
Phone
(818) 991-3800

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
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AU2027 CA Primary

Addresses

Primary practice location

5655 Lindero Canyon Rd Ste 503
Westlake Village, CA 91362-7358

Mailing address

5655 Lindero Canyon Rd Ste 503
Westlake Village, CA 91362-7358
Phone (818) 991-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000573 CA Part B Supplier - Clinic/Group Practice 0547446320 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

5655 Lindero Canyon Rd
Ste 503
Westlake Village, CA 91362
Phone (818) 991-3800

699 Hampshire Rd
Ste 215
Westlake Vlg, CA 91361
Phone (818) 991-3800

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": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1386934305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 503",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627358",
            "telephone_number": "818-991-3800",
            "fax_number": "818-991-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 503",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627358",
            "telephone_number": "818-991-3800",
            "fax_number": "818-991-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-991-3800"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.