Active NPI
Lee Diles
- Hearing Instrument Specialist
- Petaluma, CA
National Provider Identifier
1497126932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 8015
- Practice address
- 1383 No. McDowell Blvd #100
Petaluma, CA 94954 - Phone
- (707) 789-9191
- NPI assigned
- Oct 9, 2015
- Sex
- Male
- 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 | HA 8015 | CA | Primary |
Addresses
Primary practice location
1383 No. McDowell Blvd #100
Petaluma, CA 94954
Mailing address
1383 No. McDowell Blvd. #100
Petaluma, CA 94954
Phone (707) 789-9191
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 |
|---|---|---|---|
| HA 8015 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1497126932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 NO. MCDOWELL BLVD. #100",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "707-789-9191",
"fax_number": "707-789-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 NO. MCDOWELL BLVD #100",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "707-789-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILES",
"first_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 8015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.