Pacific Hearing & Balance., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

W15955 Issued in CA

Legal business name

PACIFIC HEARING & BALANCE., INC

Practice address

11645 Wilshire Blvd
Suite # 600
Los Angeles, CA 90025-1708

Phone

(310) 477-5558

Fax

(310) 477-7281

NPI assigned

Jun 4, 2006

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory James Frazer, AU.D., PHD.NPI 1023051588

Title

President

Phone

(310) 477-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Pacific Hearing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Hearing & Balance, Inc.

  • Specialist
  • Marina del Rey, CA
  • NPI 1386670602
  NPD tax ID

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory James Frazer, AU.D. , PH.D.

  • Audiologist
  • Los Angeles, CA
  • NPI 1023051588

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Abucasis, AUD

  • Audiologist
  • Los Angeles, CA
  • NPI 1659090231
  Medicare reassignment Care Compare group NPD
• Kathleen Anne Harlan, M.A., CCC-A

  • Audiologist
  • Los Angeles, CA
  • NPI 1336320589
  Medicare reassignment Care Compare group NPD
• Sofiya Krauss, AUD

  • Audiologist
  • Los Angeles, CA
  • NPI 1679826937
  Medicare reassignment Care Compare group NPD
• Sheila Rachel Melekh-Shalom

  • Audiologist
  • Santa Monica, CA
  • NPI 1083193072
  Medicare reassignment Care Compare group NPD
• Julie Lynn Skille, M.S.

  • Audiologist
  • Los Angeles, CA
  • NPI 1841463874
  Medicare reassignment Care Compare group NPD
• Reginald F Arevalo, AU.D.

  • Audiologist
  • Pico Rivera, CA
  • NPI 1881308302
  Medicare reassignment NPD
• Danielle Bassett

  • Audiologist
  • Los Angeles, CA
  • NPI 1699647511
  Medicare reassignment NPD
• Jacob Hohsfield, AUD

  • Audiologist
  • Los Angeles, CA
  • NPI 1063294510
  Medicare reassignment NPD
• Grace Natalie McManus, AU.D.

  • Audiologist
  • Santa Monica, CA
  • NPI 1982240461
  Medicare reassignment NPD
• Lajayah Medina

  • Audiologist
  • Los Angeles, CA
  • NPI 1457171431
  Medicare reassignment
• Carissa Darlene Bennett, AUD

  • Specialist
  • Los Angeles, CA
  • NPI 1104869551
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1831137223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEARING & BALANCE., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-5558",
        "authorized_official_credential": "AU.D., PHD."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "W15955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU000790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Forensic Psychology Associates, Inc (Sharp Program)
• Pacific Gen LLC
• Pacific Healing Center, Inc.
• Pacific Health Services, Inc.
• Pacific Hearing , Inc
• Pacific Hospice Care Corporation
• Pacific Hospitalists, Inc.
• Pacific MRI a Nursing Corporation
• Pacific Neuroscience Institute Medical Group Inc
• Pacific Ocean Dental Group,Hyun Sook Lim Dental Corporation (Pacific Ocean Dental Group)

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.