Organization Active NPI

Professional Hearing Aid Center

  • Hearing Instrument Specialist
  • Redding, CA
National Provider Identifier
1912049164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
CA 1121 Issued in CA
Legal business name
PROFESSIONAL HEARING AID CENTER
Practice address
1109 Hartnell Ave Ste 4
Redding, CA 96002-2257
Phone
(530) 222-1330
Fax
(530) 223-4406
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Philip Lloyd Putnam
Title
Owner
Phone
(530) 222-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X CA 1121 CA Primary

Addresses

Primary practice location

1109 Hartnell Ave Ste 4
Redding, CA 96002-2257

Mailing address

1109 Hartnell Ave Ste 4
Redding, CA 96002-2257
Phone (530) 222-1330

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ82852ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

1109 Hartnell Ave
Ste 4
Redding, CA 96002
Phone (530) 222-1330

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912049164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HARTNELL AVE STE 4",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022257",
            "telephone_number": "530-222-1330",
            "fax_number": "530-223-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 HARTNELL AVE STE 4",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022257",
            "telephone_number": "530-222-1330",
            "fax_number": "530-223-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-222-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "CA 1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82852Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.