Organization Active NPI

Encinitas Hearing Aid Center

  • Hearing Instrument Specialist
  • Encinitas, CA
National Provider Identifier
1528157906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA0000135 Issued in CA
Legal business name
ENCINITAS HEARING AID CENTER
Practice address
2210 Encinitas Blvd Ste M
Encinitas, CA 92024-4359
Phone
(760) 436-4450
Fax
(760) 436-0951
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul John Dietsch, BA
Title
Owner/Hearing Aid Dispenser
Phone
(760) 436-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA0000135 CA Primary

Addresses

Primary practice location

2210 Encinitas Blvd Ste M
Encinitas, CA 92024-4359

Mailing address

2210 Encinitas Blvd Ste M
Encinitas, CA 92024-4359
Phone (760) 436-4450

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75510ZMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528157906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 ENCINITAS BLVD STE M",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244359",
            "telephone_number": "760-436-4450",
            "fax_number": "760-436-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ENCINITAS BLVD STE M",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244359",
            "telephone_number": "760-436-4450",
            "fax_number": "760-436-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINITAS HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETSCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/HEARING AID DISPENSER",
        "authorized_official_telephone_number": "760-436-4450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA0000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75510Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.