Active NPI
Lucian Ghioalda, M.S. C.C.C.
- Audiologist
- Rancho Mirage, CA
National Provider Identifier
1598915928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2344
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 73.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2344 | CA | MD | Audiologist |
| SLP 12833 | CA | MD | Speech-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.
-
- Otolaryngology Physician
- Rancho Mirage, CA
- NPI 1477513745
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.