Active NPI
Wall's Hearing Aid Center, Inc.
- Hearing Instrument Specialist
- Bakersfield, CA
National Provider Identifier
1558490391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 805
- Legal business name
- WALL'S HEARING AID CENTER, INC.
- Practice address
- 4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427 - Phone
- (661) 323-1612
- Fax
- (661) 325-4969
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Vernon Wall
- Title
- President
- Phone
- (661) 323-1612
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA 2137 | CA | |
| Hearing Instrument Specialist | 237700000X | HA 805 | CA | Primary |
Addresses
Primary practice location
4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427
Mailing address
4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427
Phone (661) 323-1612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA0008050 | Medicaid | CA | |
| HA0021370 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434067200000",
"number": "1558490391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 EASTON DR",
"address_2": "SUITE #108",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933099427",
"telephone_number": "661-323-1612",
"fax_number": "661-325-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 EASTON DR",
"address_2": "SUITE #108",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933099427",
"telephone_number": "661-323-1612",
"fax_number": "661-325-4969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALL'S HEARING AID CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2015-06-12",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-323-1612",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 2137",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0008050",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0021370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.