Active Hearing Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

HA6014 Issued in CA

Legal business name

ACTIVE HEARING INC

Doing business as

Sonus SF0016

Practice address

260 Main St
Ste F
Redwood City, CA 94063-1778

Phone

(650) 366-2900

Fax

(650) 366-2908

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ehsan Jason Kamalvand, HAD

Title

Owner

Phone

(770) 527-5223

Specialties & licenses 1

Addresses

Other names 1

• Sonus SF0016 Doing business as

Locations

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1831471218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "address_2": "STE F",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631778",
            "telephone_number": "650-366-2900",
            "fax_number": "650-366-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAIN ST",
            "address_2": "STE F",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631778",
            "telephone_number": "650-366-2900",
            "fax_number": "650-366-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEARING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "KAMALVAND",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-527-5223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HAD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA6014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonus SF0016",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.