Individual provider Active NPI

Keith E Rios

  • Hearing Instrument Specialist
  • Campbell, CA
National Provider Identifier
1407058621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA5058 Issued in CA
Practice address
1508 S. Winchester Blvd
Suite 104
Campbell, CA 95008-0519
Phone
(408) 379-5600
Fax
(408) 379-5632
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 HA5058 CA Primary

Addresses

Primary practice location

1508 S. Winchester Blvd
Suite 104
Campbell, CA 95008-0519

Mailing address

8041 Greenback LN
Citrus Heights, CA 95610-6909
Phone (916) 721-0400

Other identifiers 1

IdentifierTypeStateIssuer
HA 5058OtherCALICENCE

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
HA5058CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
California Hearing Aid Center West Past Accepting new patients
California Hearing Aid Center Past Accepting new patients

Organizations & group practices 2

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407058621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 GREENBACK LN",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956106909",
            "telephone_number": "916-721-0400",
            "fax_number": "916-721-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S. WINCHESTER BLVD",
            "address_2": "SUITE 104",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080519",
            "telephone_number": "408-379-5600",
            "fax_number": "408-379-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA5058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "HA 5058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.