San Luis Obispo Hearing Center Inc. – Specialist

Key facts

NPI: 1639615735
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: SAN LUIS OBISPO HEARING CENTER INC.
Practice address: 895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone: (805) 541-2368
Fax: (805) 541-2553
NPI assigned: Jan 12, 2017
Organization subpart: No

Authorized official

Name: Megan Larson, AUD
Title: Audiologist
Phone: (805) 541-2368

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

The San Luis Obispo Hearing Center, Inc Specialist · Pismo Beach, CA · NPI 1295274413

NPD tax ID

National Provider Directory

Tax ID family: San Luis Obispo Hearing Center Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725

Mailing address

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone (805) 541-2368

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2017.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1639615735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-2368",
            "fax_number": "805-541-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-2368",
            "fax_number": "805-541-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO HEARING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "805-541-2368",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

All providers in San Luis Obispo, CA · 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 Jan 12, 2017. 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.

Verify at the official NPI Registry.