Individual provider Active NPI

Robert Eberle

  • Hearing Instrument Specialist
  • Oakland, CA
National Provider Identifier
1659597805
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA2045 Issued in CA
Practice address
2201 Broadway Ste 812
Oakland, CA 94612-3024
Phone
(510) 625-8039
Fax
(510) 625-8067
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 HA2045 CA Primary

Addresses

Primary practice location

2201 Broadway Ste 812
Oakland, CA 94612-3024

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

341 Westlake Ctr Ste 331
Daly City, CA 94015-1443
Phone (650) 755-3688

Other identifiers 1

IdentifierTypeStateIssuer
HA2045OtherCASTATE LICENSE

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
HA2045CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Hearing Instrument Specialist CurrentSince Sep 23, 2021 Accepting new patients
Connect Hearing Inc Hearing Instrument Specialist CurrentSince Jul 1, 2024 Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

Locations

341 Westlake Ctr
Ste 331
Daly City, CA 94015
Phone (650) 755-3688

2201 Broadway
Ste 812
Oakland, CA 94612
Phone (510) 625-8039

840 Willow St
Ste 300
San Jose, CA 95125
Phone (408) 271-9447

750 N Commons Dr
Ste 200
Aurora, IL 60504

215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279

Organizations & group practices 4

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1659597805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BROADWAY STE 812",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123024",
            "telephone_number": "510-625-8039",
            "fax_number": "510-625-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Westlake Ctr Ste 331",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940151443",
            "country_code": "US",
            "telephone_number": "650-755-3688",
            "fax_number": "650-755-3689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HA2045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.