Nelton J Robertson

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

HA3141 Issued in CA

Practice address

4477 West 118TH St
Ste 103
Hawthorne, CA 90250

Phone

(310) 644-7284

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• National Hearing Aid Center

  • Hearing Aid Equipment
  • Hawthorne, CA
  • NPI 1801344239
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700934205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 WEST 118TH ST",
            "address_2": "STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-644-7284",
            "fax_number": "310-644-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 WEST 118TH ST",
            "address_2": "STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-644-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NELTON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA3141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0031410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RL Ross Enterprises LLC
• Robert Koppany, OD, a Professional Corp.
• Robert Lance Charet. MD, Inc.
• Alecsandra Olese Roberts, M.D.
• Trenais Marie Roberts
• Nelton Joseph Robertson III, HEARING AID DISPENSE
• Rechelle Denise Robinson
• Rodney Victor Robinson Sr.
• Jonathan James Rodil, OTR/L
• Angel Rodriguez

• Audiologist-Hearing Aid Fitter in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.