Individual provider Active NPI

Robert Obrien, HIS

  • Hearing Instrument Specialist
  • Glendale, CA
National Provider Identifier
1467191189
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8763 Issued in CA
Practice address
100 N Brand Blvd Ste 203&204
Glendale, CA 91203-2641
Phone
(818) 476-0084
Fax
(818) 539-2251
NPI assigned
Jun 1, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 8763 CA Primary

Addresses

Primary practice location

100 N Brand Blvd Ste 203&204
Glendale, CA 91203-2641

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

17135 Ventura Blvd
Encino, CA 91316-4004
Phone (818) 986-1860

Other practice location 2

300 E Esplanade Dr Ste 480
Oxnard, CA 93036-0217
Phone (805) 485-1290

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
8763CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist PastSince Dec 28, 2022 Accepting new patients
Connect Hearing Inc Hearing Instrument Specialist PastSince Oct 3, 2014 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1467191189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 203&204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032641",
            "telephone_number": "818-476-0084",
            "fax_number": "818-539-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17135 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913164004",
            "country_code": "US",
            "telephone_number": "818-986-1860",
            "fax_number": "818-986-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Esplanade Dr Ste 480",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360217",
            "country_code": "US",
            "telephone_number": "805-485-1290",
            "fax_number": "805-983-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "ROBERT",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.