Active NPI
Camden Quevedo, HIS
- Hearing Instrument Specialist
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA8097
- Practice address
- 12637 Hesperia Rd Ste B
Victorville, CA 92395-7774 - Phone
- (760) 241-2250
- Fax
- (760) 241-2250
- NPI assigned
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- No
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 | HA8097 | CA | Primary |
Addresses
Primary practice location
12637 Hesperia Rd Ste B
Victorville, CA 92395-7774
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other practice location 1
41789 Nicole Ln
Ste B2
Temecula, CA 92591-3871
Phone (951) 699-0111
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 |
|---|---|---|---|
| HA8097 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Hearing Instrument Specialist | Current | Accepting new patients |
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
12637 Hesperia Rd
Ste B
Victorville, CA 92395
Phone (760) 241-2250
750 N Commons Dr
Ste 200
Aurora, IL 60504
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279
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
- Victorville, CA
- NPI 1790038446
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1669926523",
"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": "12637 HESPERIA RD STE B",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957774",
"telephone_number": "760-241-2250",
"fax_number": "760-241-2250"
}
],
"practiceLocations": [
{
"address_1": "41789 Nicole Ln",
"address_2": "Ste B2",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925913871",
"country_code": "US",
"telephone_number": "951-699-0111",
"fax_number": "951-699-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEVEDO",
"first_name": "CAMDEN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-09",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA8097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.