NPIMap

Organization Active NPI

Statewide Hearing Aid Centers, LLC

  • Hearing Instrument Specialist
  • Camarillo, CA
National Provider Identifier
1902565807
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
STATEWIDE HEARING AID CENTERS, LLC
Doing business as
Acoustic Hearing Aids by Beltone
Practice address
2412 N Ponderosa Dr Ste B101
Camarillo, CA 93010-2380
Phone
(805) 482-1104
Fax
(805) 482-0112
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Roger CaldwellNPI 1598291296
Title
Ceo
Phone
(805) 482-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

2412 N Ponderosa Dr Ste B101
Camarillo, CA 93010-2380

Mailing address

2412 N Ponderosa Dr Ste B101
Camarillo, CA 93010-2380
Phone (805) 482-1104

Other practice location 1

1429 E Thousand Oaks Blvd Ste 111
Thousand Oaks, CA 91362-6233
Phone (805) 495-1885

Other practice location 2

2895 Loma Vista Rd Ste D
Ventura, CA 93003-1527
Phone (805) 648-5143

Other names 1

  • Acoustic Hearing Aids by Beltone Doing business as

National Provider Directory

National Provider Directory

Locations

2412 N Ponderosa Dr
Ste B101
Camarillo, CA 93010
Phone (805) 482-1104

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1902565807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N PONDEROSA DR STE B101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102380",
            "telephone_number": "805-482-1104",
            "fax_number": "805-482-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N PONDEROSA DR STE B101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102380",
            "telephone_number": "805-482-1104",
            "fax_number": "805-482-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 E Thousand Oaks Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913626233",
            "country_code": "US",
            "telephone_number": "805-495-1885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2895 Loma Vista Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031527",
            "country_code": "US",
            "telephone_number": "805-648-5143",
            "fax_number": "805-648-5806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATEWIDE HEARING AID CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-482-1104"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acoustic Hearing Aids by Beltone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.