Individual provider Active NPI

Walter Kelly, H.I.S.

  • Hearing Instrument Specialist
  • Chula Vista, CA
National Provider Identifier
1386998219
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7495 Issued in CA
Practice address
333 H St Ste 5000
Chula Vista, CA 91910-5561
Phone
(619) 349-5410
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 HA7495 CA Primary

Addresses

Primary practice location

333 H St Ste 5000
Chula Vista, CA 91910-5561

Mailing address

333 H Street
Chula Vista, CA 91910
Phone (619) 349-5410

Other practice location 1

10620 Treena St Ste 230
San Diego, CA 92131-1140
Phone (858) 289-4937

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
HA7495CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Experience, LLC Hearing Instrument Specialist Current Accepting new patients
Ca Hearing LLC Hearing Instrument Specialist Current Accepting new patients
Yuma Hears LLC Hearing Instrument Specialist Current Accepting new patients
Clearly Hearing Inc Hearing Instrument Specialist Past Accepting new patients

Locations

701 Palomar Airport Rd
Ste 300
Carlsbad, CA 92011
Phone (760) 434-4327

333 H St
Ste 5000
Chula Vista, CA 91910
Phone (619) 349-5410

10620 Treena St
Ste 230
San Diego, CA 92131
Phone (619) 374-8131

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1386998219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 H STREET",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-349-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 H ST STE 5000",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105561",
            "telephone_number": "619-349-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 Treena St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311140",
            "country_code": "US",
            "telephone_number": "858-289-4937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.