Individual provider Active NPI

Jennifer Valdez, HAD

  • Hearing Instrument Specialist
  • San Luis Obispo, CA
National Provider Identifier
1528443942
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7899 Issued in CA
Practice address
3830 Broad St Ste 5
San Luis Obispo, CA 93401-7187
Phone
(805) 547-9500
Fax
(805) 547-9502
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 HA7899 CA Primary

Addresses

Primary practice location

3830 Broad St Ste 5
San Luis Obispo, CA 93401-7187

Mailing address

3830 Broad St Ste 5
San Luis Obispo, CA 93401-7187
Phone (805) 547-9500

Other practice location 1

1704 Spring St Ste 101
Paso Robles, CA 93446-1678
Phone (805) 237-8000

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
HA7899CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Solutions Hearing Aid Center Inc. CurrentSince Feb 27, 2022 Accepting new patients
Venture Pathways LLC PastSince Oct 17, 2021 Accepting new patients

Locations

1704 Spring St
Ste 101
Paso Robles, CA 93446
Phone (805) 237-8000

3830 Broad St
Ste 5
San Luis Obispo, CA 93401
Phone (805) 547-9500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1528443942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 BROAD ST STE 5",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017187",
            "telephone_number": "805-547-9500",
            "fax_number": "805-547-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BROAD ST STE 5",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017187",
            "telephone_number": "805-547-9500",
            "fax_number": "805-547-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Spring St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "934461678",
            "country_code": "US",
            "telephone_number": "805-237-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JENNIFER",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.