NPIMap

Organization Active NPI

Daystar Hearing Aid

  • Hearing Aid Equipment
  • Huntington Park, CA
National Provider Identifier
1417379124
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HA7566 Issued in CA
Legal business name
DAYSTAR HEARING AID
Practice address
3290 E Gage Ave
Huntington Park, CA 90255
Phone
(323) 589-8383
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Soroush Eghterafi
Title
Owner
Phone
(562) 728-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HA7566 CA Primary

Addresses

Primary practice location

3290 E Gage Ave
Huntington Park, CA 90255

Mailing address

3290 E Gage Ave
Huntington Park, CA 90255

Other identifiers 1

IdentifierTypeStateIssuer
1992016463MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Daystar Hearing Aid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3290 E Gage Ave
Huntington Park, CA 90255
Phone (323) 589-8383

Practitioners & affiliated clinicians

Practitioners 3

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1417379124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-589-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR HEARING AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "EGHTERAFI",
        "authorized_official_first_name": "SOROUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-728-4324"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA7566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992016463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.