Organization Active NPI

Aaa1 Hearing Aid Services, Inc.

  • Audiologist
  • Encino, CA
National Provider Identifier
1881733012
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2631 Issued in CA
Legal business name
AAA1 HEARING AID SERVICES, INC.
Practice address
17300 Ventura Blvd
Encino, CA 91316-3904
Phone
(818) 780-1177
Fax
(818) 780-2351
NPI assigned
Feb 5, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Michael J Shannon, BC-HIS
Title
Owner
Phone
(818) 780-1170

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD898 CA
Audiologist 231H00000X AU2631 CA Primary
Hearing Instrument Specialist 237700000X AUD898 CA

Addresses

Primary practice location

17300 Ventura Blvd
Encino, CA 91316-3904

Mailing address

17300 Ventura Blvd
Encino, CA 91316-3904
Phone (818) 780-1177

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ41642ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

17300 Ventura Blvd
Encino, CA 91316
Phone (818) 780-1177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1881733012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-780-1177",
            "fax_number": "818-780-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-780-1177",
            "fax_number": "818-780-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA1 HEARING AID SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-780-1170",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AUD898",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2631",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "AUD898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ41642Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.