Active NPI
Janet Lori Brown, MA CCC
- Audiologist-Hearing Aid Fitter
- Riverside, CA
National Provider Identifier
1780675348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU1493
- Practice address
- 7177 Brockton Ave
Ste 104
Riverside, CA 92506-2631 - Phone
- (951) 684-5620
- Fax
- (951) 684-5681
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU1493 | CA | Primary |
Addresses
Primary practice location
7177 Brockton Ave
Ste 104
Riverside, CA 92506-2631
Mailing address
7177 Brockton Ave
Ste 104
Riverside, CA 92506-2631
Phone (951) 684-5620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0014930 | Medicaid | CA | |
| ZZZ572482 | Other | CA | BLUE CROSS BLUE SHIELD |
| ZZZ32183Z | Other | CA | BLUE CROSS BLUE SHIELD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1493 | CA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1780675348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE",
"address_2": "STE 104",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062631",
"telephone_number": "951-684-5620",
"fax_number": "951-684-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE",
"address_2": "STE 104",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062631",
"telephone_number": "951-684-5620",
"fax_number": "951-684-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JANET",
"middle_name": "LORI",
"credential": "MA CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU1493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0014930",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "ZZZ572482",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "ZZZ32183Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.