Individual provider Active NPI

Craig Whitcomb, HAD

  • Hearing Instrument Specialist
  • Rancho Mirage, CA
National Provider Identifier
1811318462
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7942 Issued in CA
Practice address
42410 Bob Hope Dr Ste 1
Rancho Mirage, CA 92270-4468
Phone
(760) 341-9619
Fax
(760) 341-9619
NPI assigned
Dec 29, 2013
Last updated
Dec 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-272 ID
Hearing Instrument Specialist 237700000X HT9027 CA
Hearing Instrument Specialist 237700000X HA7942 CA Primary

Addresses

Primary practice location

42410 Bob Hope Dr Ste 1
Rancho Mirage, CA 92270-4468

Mailing address

5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 898-5732

Other practice location 1

78206 Varner Rd Ste A
Palm Desert, CA 92211-4136
Phone (760) 360-9944

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
HA7942CAMDHearing Instrument Specialist
HT9027CAMDHearing Instrument Specialist
HA-272IDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc Hearing Instrument Specialist PastSince Oct 29, 2018 Accepting new patients
Adapt Hearing Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1811318462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GARDEN GROVE BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838234",
            "telephone_number": "714-898-5732",
            "fax_number": "714-901-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42410 BOB HOPE DR STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704468",
            "telephone_number": "760-341-9619",
            "fax_number": "760-341-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78206 Varner Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922114136",
            "country_code": "US",
            "telephone_number": "760-360-9944",
            "fax_number": "760-469-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "CRAIG",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-29",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-272",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HT9027",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.