Individual provider Active NPI

Lucian Ghioalda, M.S. C.C.C.

  • Audiologist
  • Rancho Mirage, CA
National Provider Identifier
1598915928
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 2344 Issued in CA
Practice address
39000 Bob Hope Dr
W-301
Rancho Mirage, CA 92270-3221
Phone
(760) 341-3188
NPI assigned
Sep 22, 2008
Last updated
Sep 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 2344 CA Primary
Speech-Language Pathologist 235Z00000X SLP 12833 CA

Addresses

Primary practice location

39000 Bob Hope Dr
W-301
Rancho Mirage, CA 92270-3221

Mailing address

30 Ryan St
Redlands, CA 92374-4117
Phone (909) 872-1829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000709 CA Practitioner - Qualified Audiologist 3870652324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Ear Nose and Throat Medical Group IncGroup PAC ID 6002909322, 8 clinicians

Practice addresses (Care Compare)

71687 Hwy 111
Suite 101
Rancho Mirage, CA 92270-4515
Phone (760) 340-4566

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AU 2344CAMDAudiologist
SLP 12833CAMDSpeech-Language Pathologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1598915928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RYAN ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744117",
            "telephone_number": "909-872-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "W-301",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-341-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIOALDA",
        "first_name": "LUCIAN",
        "credential": "M.S. C.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2344",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP 12833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.