Individual provider Active NPI

Sandra L Souza, BC-HIS,ACA

  • Hearing Instrument Specialist
  • San Luis Obispo, CA
National Provider Identifier
1619180262
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA3908 Issued in CA
Practice address
3830 Broad St
Suite 5
San Luis Obispo, CA 93401-7187
Phone
(805) 547-9500
Fax
(805) 547-9502
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA3908 CA Primary

Addresses

Primary practice location

3830 Broad St
Suite 5
San Luis Obispo, CA 93401-7187

Mailing address

PO Box 13759
San Luis Obispo, CA 93406-3759
Phone (805) 547-9500

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

LicenseStateTypeSpecialty
HA3908CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Solutions Hearing Aid Center Inc. PastSince Feb 27, 2022 Accepting new patients
Venture Pathways LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1619180262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13759",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934063759",
            "telephone_number": "805-547-9500",
            "fax_number": "805-547-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BROAD ST",
            "address_2": "SUITE 5",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017187",
            "telephone_number": "805-547-9500",
            "fax_number": "805-547-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS,ACA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.