Individual provider Active NPI

Shahla Tadayon

  • Hearing Aid Equipment
  • Los Angeles, CA
National Provider Identifier
1881288744
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HA3472 Issued in CA
Practice address
6229 W 87TH St
Los Angeles, CA 90045-3901
Phone
(310) 803-9848
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HA3472 CA Primary

Addresses

Primary practice location

6229 W 87TH St
Los Angeles, CA 90045-3901

Mailing address

2217 Malcolm Ave
Los Angeles, CA 90064-2023
Phone (310) 488-7400

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
HA3472CAMDHearing Aid Equipment

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1881288744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MALCOLM AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642023",
            "telephone_number": "310-488-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6229 W 87TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "310-803-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAYON",
        "first_name": "SHAHLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "HA3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.