Individual provider Active NPI

William Allen Schade, AUD

  • Hearing Instrument Specialist
  • San Clemente, CA
National Provider Identifier
1477626430
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
530 Issued in CA
Practice address
3553 Camino Mira Costa
Suite C
San Clemente, CA 92672-3512
Phone
(949) 240-7070
Fax
(949) 240-7301
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD530 CA
Hearing Instrument Specialist 237700000X 530 CA Primary

Addresses

Primary practice location

3553 Camino Mira Costa
Suite C
San Clemente, CA 92672-3512

Mailing address

3553 Camino Mira Costa
Suite C
San Clemente, CA 92672-3512
Phone (949) 240-7070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD530CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1477626430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA",
            "address_2": "SUITE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-240-7070",
            "fax_number": "949-240-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA",
            "address_2": "SUITE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-240-7070",
            "fax_number": "949-240-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADE",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AUD530",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.