Individual provider Active NPI

Pamela Liebenthal Baker

  • Hearing Instrument Specialist
  • Tarzana, CA
National Provider Identifier
1740630508
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD8104 Issued in CA
Practice address
5525 Etiwanda Ave Ste 309
Tarzana, CA 91356-6145
Phone
(818) 345-3200
Fax
(818) 345-3254
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 HAD8104 CA Primary

Addresses

Primary practice location

5525 Etiwanda Ave Ste 309
Tarzana, CA 91356-6145

Mailing address

5525 Etiwanda Ave Ste 309
Tarzana, CA 91356-6145
Phone (818) 345-3200

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
HAD8104CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1740630508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566145",
            "telephone_number": "818-345-3200",
            "fax_number": "818-345-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566145",
            "telephone_number": "818-345-3200",
            "fax_number": "818-345-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENTHAL BAKER",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HAD8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.