Yucaipa Hearing Aid Center, Inc

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA5067 Issued in CA

Legal business name

YUCAIPA HEARING AID CENTER, INC

Practice address

12197 California St
Yucaipa, CA 92399-4332

Phone

(909) 797-2104

Fax

(909) 797-6724

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie K Wood

Title

VP Operations

Phone

(909) 797-2104

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1538464706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12197 CALIFORNIA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994332",
            "telephone_number": "909-797-2104",
            "fax_number": "909-797-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12197 CALIFORNIA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994332",
            "telephone_number": "909-797-2104",
            "fax_number": "909-797-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCAIPA HEARING AID CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "909-797-2104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA5067",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA5067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0050670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.