Active NPI
Michael Francis Mulvey
- Hearing Instrument Specialist
- Santa Rosa, CA
National Provider Identifier
1780976357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 6092
- Practice address
- 4725 Hoen Ave Ste B
Santa Rosa, CA 95405-9405 - Phone
- (707) 542-1154
- Fax
- (707) 542-4919
- NPI assigned
- May 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA 6092 | CA | Primary |
Addresses
Primary practice location
4725 Hoen Ave Ste B
Santa Rosa, CA 95405-9405
Mailing address
4725 Hoen Ave Ste B
Santa Rosa, CA 95405-9405
Phone (707) 542-1154
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
| License | State | Type | Specialty |
|---|---|---|---|
| HA 6092 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1780976357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 HOEN AVE STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954059405",
"telephone_number": "707-542-1154",
"fax_number": "707-542-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 HOEN AVE STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954059405",
"telephone_number": "707-542-1154",
"fax_number": "707-542-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVEY",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 6092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.