Active NPI
Sandra L Souza, BC-HIS,ACA
- Hearing Instrument Specialist
- San Luis Obispo, CA
National Provider Identifier
1619180262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA3908
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| HA3908 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Solutions Hearing Aid Center Inc. | Past | 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.
-
- Hearing Aid Equipment
- San Luis Obispo, CA
- NPI 1356756274
-
- Hearing and Speech Clinic/Center
- San Luis Obispo, CA
- NPI 1699421149
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.