Individual provider Active NPI

Rosa O Hilario, AUD

  • Audiologist
  • Pomona, CA
National Provider Identifier
1598778268
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD 287 Issued in CA
Practice address
1700 Alameda St
Pomona, CA 91768-1727
Phone
(909) 623-2272
Fax
(909) 397-9248
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HA 2917 CA
Audiologist 231H00000X AUD 287 CA Primary
Speech-Language Pathologist 235Z00000X SP 5897 CA

Addresses

Primary practice location

1700 Alameda St
Pomona, CA 91768-1727

Mailing address

PO Box 568
La Verne, CA 91750-0568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150213000134 CA Practitioner - Qualified Audiologist 5698753036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Dynamic Enterpris Inc.Group PAC ID 0941216659, 3 clinicians

Practice addresses (Care Compare)

1700 Alameda St
Pomona, CA 91768-1727
Phone (909) 397-9247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD 287CAMDAudiologist
SP 5897CAMDSpeech-Language Pathologist
HA 2917CAMDAudiologist-Hearing Aid Fitter
287CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Dynamic Enterpris Inc. Audiologist CurrentSince Dec 10, 2014 Accepting new patients

Locations

4195 Chino Hills Pkwy
Ste 172
Chino Hills, CA 91709

3233 Grand Ave
Ste 329
Chino Hills, CA 91709

1700 Alameda St
Pomona, CA 91768
Phone (909) 397-9247

984 W Foothill Blvd
Upland, CA 91786
Phone (909) 373-1027

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1598778268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917500568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALAMEDA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681727",
            "telephone_number": "909-623-2272",
            "fax_number": "909-397-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILARIO",
        "first_name": "ROSA",
        "middle_name": "O",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA 2917",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AUD 287",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 5897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.