NPIMap

Organization Active NPI

Creekside Hearing Aid Service

  • Hearing and Speech Clinic/Center
  • Vacaville, CA
National Provider Identifier
1639524622
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
HA1816 Issued in CA
Legal business name
CREEKSIDE HEARING AID SERVICE
Practice address
600 Nut Tree Rd
Suite 250
Vacaville, CA 95687-4669
Phone
(707) 455-7993
Fax
(707) 455-7995
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Mrs. Cynthia Marie Taylor-Peffers, ACA, BC-HIS
Title
Owner
Phone
(707) 455-7993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X HA1816 CA Primary

Addresses

Primary practice location

600 Nut Tree Rd
Suite 250
Vacaville, CA 95687-4669

Mailing address

600 Nut Tree Rd
Suite 250
Vacaville, CA 95687-4669
Phone (707) 455-7993

National Provider Directory

National Provider Directory

Locations

600 Nut Tree Rd
Ste 250
Vacaville, CA 95687
Phone (707) 455-7993

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1639524622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD",
            "address_2": "SUITE 250",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874669",
            "telephone_number": "707-455-7993",
            "fax_number": "707-455-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD",
            "address_2": "SUITE 250",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874669",
            "telephone_number": "707-455-7993",
            "fax_number": "707-455-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE HEARING AID SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-PEFFERS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-455-7993",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACA, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "HA1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.