Active NPI
Angeline Medawar
- Hearing Instrument Specialist
- El Cajon, CA
National Provider Identifier
1447924543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA7307
- Practice address
- 2860 Fletcher Pkwy
El Cajon, CA 92020-2111 - Phone
- (619) 337-3900
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA7307 | CA | Primary |
Addresses
Primary practice location
2860 Fletcher Pkwy
El Cajon, CA 92020-2111
Mailing address
150 S 5TH St Ste 2300
Minneapolis, MN 55402-4223
Phone (763) 268-4286
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.miracle-ear.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HA7307 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1447924543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S 5TH ST STE 2300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554024223",
"telephone_number": "763-268-4286",
"fax_number": "763-268-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202111",
"telephone_number": "619-337-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDAWAR",
"first_name": "ANGELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA7307",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.miracle-ear.com",
"affiliation": "N",
"address_1": "2860 Fletcher Pkwy",
"city": "El Cajon",
"state": "CA",
"country_code": "US",
"postal_code": "920202111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.