Individual provider Active NPI

Chandan Hunsur Suresh, PHD

  • Audiologist-Hearing Aid Fitter
  • Whittier, CA
National Provider Identifier
1871133314
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU3467 Issued in CA
Practice address
8135 Painter Ave Ste 302
Whittier, CA 90602-3172
Phone
(562) 693-0703
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU3467 CA Primary

Addresses

Primary practice location

8135 Painter Ave Ste 302
Whittier, CA 90602-3172

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113002486 CA Practitioner - Qualified Audiologist 8325451271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Gabriel Valley Audiology and Hearing AIDSGroup PAC ID 2163881632, 2 clinicians

Practice addresses (Care Compare)

1700 W Cameron Ave
Suite 110
West Covina, CA 91790-2718
Phone (626) 485-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AU3467CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Valley Audiology and Hearing AIDS Audiologist-Hearing Aid Fitter CurrentSince May 23, 2023 Accepting new patients
Serendipity Hearing Inc Audiologist-Hearing Aid Fitter CurrentSince Jan 14, 2020 Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

10929 South St
Ste 202B
Cerritos, CA 90703
Phone (562) 431-1512

11180 Warner Ave
Ste 263
Fountain Vly, CA 92708
Phone (714) 370-1000

399 E Highland Ave
Ste 117
San Bernardino, CA 92404
Phone (909) 372-0016

451 E Avenida de los Arboles
Ste B
Thousand Oaks, CA 91360
Phone (805) 494-4469

1700 W Cameron Ave
Ste 110
West Covina, CA 91790
Phone (626) 485-2634

7230 Medical Center Dr
Ste 104
West Hills, CA 91307
Phone (818) 712-0704

5555 Garden Grove Blvd
Ste 200
Westminster, CA 92683
Phone (714) 804-5725

8135 Painter Ave
Ste 302
Whittier, CA 90602
Phone (310) 698-2291

Organizations & group practices 3

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1871133314",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE STE 302",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023172",
            "telephone_number": "562-693-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESH",
        "first_name": "CHANDAN",
        "middle_name": "HUNSUR",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.