Pramoda Madubhashani Dodangoda Arachchige, HIS
Individual provider Active NPI Hearing Instrument Specialist · Fairfield, CA
NPI 1609468362 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1609468362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- HT10101 (CA)
- Practice address
- 1313 Travis Blvd Ste C
Fairfield, CA 94533-4621 - Phone
- (707) 428-1313
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HT10101 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Instruments Hearing Aid Center | Hearing Instrument Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HT10101 | CA | Yes |
Addresses
Primary practice location
1313 Travis Blvd Ste C
Fairfield, CA 94533-4621
Mailing address
125 Gold Rush CT
Clayton, CA 94517-1463
Phone (925) 759-8122
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mellissa@patientaccounts.info | ||
| Direct Messaging Address | pramoda@aihearing.com |
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All providers in Fairfield, CA · Hearing Instrument Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.