Organization Active NPI

Pacific Hearing Connection

  • Audiologist
  • Los Altos, CA
National Provider Identifier
1811403835
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1833 Issued in CA
Legal business name
PACIFIC HEARING CONNECTION
Practice address
496 1St St Ste 120
Los Altos, CA 94022-3677
Phone
(650) 941-0664
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Dr. Deborah Wilson Clark, AU.D.NPI 1801935424
Title
President
Phone
(650) 941-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AU1833 CA Primary

Addresses

Primary practice location

496 1St St Ste 120
Los Altos, CA 94022-3677

Mailing address

496 1St St Ste 120
Los Altos, CA 94022-3677
Phone (650) 941-0664

National Provider Directory

National Provider Directory

Locations

496 1st St
Ste 120
Los Altos, CA 94022
Phone (650) 941-0664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1811403835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 1ST ST STE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223677",
            "telephone_number": "650-941-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 1ST ST STE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223677",
            "telephone_number": "650-941-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEARING CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-941-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.