Active NPI
Susan L Gililland
- Hearing Instrument Specialist
- Seal Beach, CA
National Provider Identifier
1609080399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA5063
- Practice address
- 13922 Seal Beach Blvd
Ste B
Seal Beach, CA 90740-5387 - Phone
- (562) 431-1512
- Fax
- (562) 493-2135
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA5063 | CA | Primary |
Addresses
Primary practice location
13922 Seal Beach Blvd
Ste B
Seal Beach, CA 90740-5387
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (763) 269-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA5063 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1609080399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "763-269-4115",
"fax_number": "763-268-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13922 SEAL BEACH BLVD",
"address_2": "STE B",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907405387",
"telephone_number": "562-431-1512",
"fax_number": "562-493-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILILLAND",
"first_name": "SUSAN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA5063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.