Organization Active NPI

Hearing Health Care, Inc

  • Hearing Instrument Specialist
  • Crescent City, CA
National Provider Identifier
1447476569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA3110 Issued in CA
Legal business name
HEARING HEALTH CARE, INC
Practice address
934 4TH St
Crescent City, CA 95531-4001
Phone
(541) 469-4030
Fax
(541) 412-0670
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela A DeraitaNPI 1295873065
Title
Owner
Phone
(541) 469-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA3110 CA Primary

Addresses

Primary practice location

934 4TH St
Crescent City, CA 95531-4001

Mailing address

PO Box 2475
Crescent City, CA 95531-1900
Phone (541) 469-4030

Other identifiers 1

IdentifierTypeStateIssuer
HA3112OtherARSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

934 4th St
Crescent City, CA 95531
Phone (541) 469-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447476569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955311900",
            "telephone_number": "541-469-4030",
            "fax_number": "541-412-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 4TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314001",
            "telephone_number": "541-469-4030",
            "fax_number": "541-412-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERAITA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-469-4030"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HA3112",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.