Organization Active NPI

Central Coast Health Services, LLC

Doing business as Miracle-Ear

  • Hearing Instrument Specialist
  • Lompoc, CA
National Provider Identifier
1902349665
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
BR616024 Issued in CA
Legal business name
CENTRAL COAST HEALTH SERVICES, LLC
Doing business as
Miracle-Ear
Practice address
531 N H St
Suite B
Lompoc, CA 93436-5323
Phone
(805) 724-3273
Fax
(208) 475-4507
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Connie June Hylton
Title
Insurance Specialist
Phone
(360) 208-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X BR616024 CA Primary

Addresses

Primary practice location

531 N H St
Suite B
Lompoc, CA 93436-5323

Mailing address

1059 E Iron Eagle Dr
Suite 175
Eagle, ID 83616-6855
Phone (360) 208-7801

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1902349665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 E IRON EAGLE DR",
            "address_2": "SUITE 175",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166855",
            "telephone_number": "360-208-7801",
            "fax_number": "208-475-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N H ST",
            "address_2": "SUITE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365323",
            "telephone_number": "805-724-3273",
            "fax_number": "208-475-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "HYLTON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "360-208-7801"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "BR616024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.