NPIMap

Organization Active NPI

West Coast Hearing LLC

Doing business as Miracle Ear

  • Hearing Aid Equipment
  • Stockton, CA
National Provider Identifier
1689887036
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HT9287 Issued in CA
Legal business name
WEST COAST HEARING LLC
Doing business as
Miracle Ear
Practice address
6305 Pacific Ave
Stockton, CA 95207-3713
Phone
(209) 478-5936
Fax
(209) 474-0522
NPI assigned
May 8, 2007
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
David Cruz
Title
Hearing Instrument Specialist
Phone
(209) 478-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HT9287 CA Primary

Addresses

Primary practice location

6305 Pacific Ave
Stockton, CA 95207-3713

Mailing address

131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (401) 353-4174

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Coast Hearing LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

6305 Pacific Ave
Stockton, CA 95207
Phone (209) 474-9195

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1689887036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326",
            "telephone_number": "401-353-4174",
            "fax_number": "401-488-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073713",
            "telephone_number": "209-478-5936",
            "fax_number": "209-474-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "209-478-5936"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HT9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.