Individual provider Active NPI

Alexandra Elizabeth Amancha

  • Hearing Instrument Specialist
  • Arcadia, CA
National Provider Identifier
1740613652
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 7665 Issued in CA
Practice address
711 W Camino Real Ave
Suite 202
Arcadia, CA 91007-9325
Phone
(626) 574-0437
Fax
(626) 574-2902
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

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.

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
HA 7665CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Past Accepting new patients
Hearing Science of Rancho Cucamonga, a Professional Audiology Corporat PastSince Jun 1, 2012 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA 7665 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

711 W Camino Real Ave
Suite 202
Arcadia, CA 91007-9325

Mailing address

711 W Camino Real Ave
Suite 202
Arcadia, CA 91007-9325
Phone (626) 574-0437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2013.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1740613652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W CAMINO REAL AVE",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079325",
            "telephone_number": "626-574-0437",
            "fax_number": "626-574-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W CAMINO REAL AVE",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079325",
            "telephone_number": "626-574-0437",
            "fax_number": "626-574-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANCHA",
        "first_name": "ALEXANDRA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 7665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.