David M Illich, AUD, C.C.C.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU 778 Issued in CA

Practice address

1045 E Valley Pkwy
Escondido, CA 92025-4618

Phone

(760) 489-6901

Fax

(760) 489-1694

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Hearing Associates IncGroup PAC ID 0941354393, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.illich.p1@direct.arch.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Professional Hearing Associates Inc

  dba Audiology Center of Tri-City

  • Audiologist
  • Escondido, CA
  • NPI 1114966132
  Medicare reassignment Care Compare group NPD
• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment NPD
• Graybill Medical Group Inc

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1891729745
  Medicare reassignment NPD
• Arch Health Partners

  dba Palomar Health Medical Group

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1295329787
  NPD
• Audiology Center of Tri-City

  • Audiologist-Hearing Aid Fitter
  • Oceanside, CA
  • NPI 1356464515
  NPD (past)
• Professional Hearing Associates

  • Audiologist-Hearing Aid Fitter
  • Poway, CA
  • NPI 1104967967
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528125754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 TIERRA LIBERTIA RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254618",
            "telephone_number": "760-489-6901",
            "fax_number": "760-489-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLICH",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD, C.C.C.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Escondido, CA
• Providers in Escondido, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.