Individual provider Active NPI

Brook Douglas McQuown

  • Hearing Instrument Specialist
  • Palm Desert, CA
National Provider Identifier
1730464389
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA3664 Issued in CA
Practice address
44630 Monterey Ave
Suite 100
Palm Desert, CA 92260-3326
Phone
(760) 340-4290
Fax
(760) 340-9726
NPI assigned
Oct 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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 HA3664 CA Primary

Addresses

Primary practice location

44630 Monterey Ave
Suite 100
Palm Desert, CA 92260-3326

Mailing address

44630 Monterey Ave
Suite 100
Palm Desert, CA 92260-3326
Phone (760) 340-4290

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
HA3664CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1730464389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44630 MONTEREY AVE",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326",
            "telephone_number": "760-340-4290",
            "fax_number": "760-340-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44630 MONTEREY AVE",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326",
            "telephone_number": "760-340-4290",
            "fax_number": "760-340-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUOWN",
        "first_name": "BROOK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.