Pramoda Madubhashani Dodangoda Arachchige, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HT10101 Issued in CA

Practice address

1313 Travis Blvd Ste C
Fairfield, CA 94533-4621

Phone

(707) 428-1313

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pramoda@aihearing.com

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.

• Advanced Instruments Hearing Aid Center

  • Hearing Instrument Specialist
  • Fairfield, CA
  • NPI 1801929344
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1609468362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GOLD RUSH CT",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171463",
            "telephone_number": "925-759-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD STE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334621",
            "telephone_number": "707-428-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODANGODA ARACHCHIGE",
        "first_name": "PRAMODA",
        "middle_name": "MADUBHASHANI",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HT10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mellissa@patientaccounts.info",
            "affiliation": "N",
            "address_1": "Miracle Ear",
            "address_2": "2350 Monument Blvd, Suite B",
            "city": "Pleasant Hill",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pramoda@aihearing.com",
            "affiliation": "N",
            "address_1": "1313 Travis Blvd Ste C",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945334621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hearing Instrument Specialist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.