Organization Active NPI

Paul John Dietsch

Doing business as Oceanside Hearing Aid Center

  • Hearing Instrument Specialist
  • Oceanside, CA
National Provider Identifier
1417030537
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA0000135 Issued in CA
Legal business name
PAUL JOHN DIETSCH
Doing business as
Oceanside Hearing Aid Center
Practice address
2204 S El Camino Real Ste 14
Oceanside, CA 92054-6391
Phone
(760) 439-5755
Fax
(760) 439-5732
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Mr. Paul John Dietsch, BA
Title
Owner/Hearing Aid Dispenser
Phone
(760) 439-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X HA0000135 CA Primary

Addresses

Primary practice location

2204 S El Camino Real Ste 14
Oceanside, CA 92054-6391

Mailing address

2204 S El Camino Real Ste 14
Oceanside, CA 92054-6391
Phone (760) 439-5755

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75510ZMedicaidCA

Other names 1

  • Oceanside Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

2210 Encinitas Blvd
Ste M
Encinitas, CA 92024
Phone (760) 436-4450

2216 S El Camino Real
Ste 113
Oceanside, CA 92054
Phone (760) 439-5755

2204 S El Camino Real
Ste 14
Oceanside, CA 92054
Phone (760) 439-5755

Practitioners & affiliated clinicians

Practitioners 1

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1417030537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 14",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546391",
            "telephone_number": "760-439-5755",
            "fax_number": "760-439-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 14",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546391",
            "telephone_number": "760-439-5755",
            "fax_number": "760-439-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL JOHN DIETSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DIETSCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/HEARING AID DISPENSER",
        "authorized_official_telephone_number": "760-439-5755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA0000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75510Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanside Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.