Individual provider Active NPI

Laurie B Menyuk, HA

  • Hearing Instrument Specialist
  • Camarillo, CA
National Provider Identifier
1922592989
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8316 Issued in CA
Practice address
5800 Santa Rosa Rd Ste 123
Camarillo, CA 93012-7060
Phone
(805) 482-9821
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8316 CA Primary

Addresses

Primary practice location

5800 Santa Rosa Rd Ste 123
Camarillo, CA 93012-7060

Mailing address

5915 Misty CT
Agoura Hills, CA 91301-2132
Phone (818) 355-1556

Other identifiers 1

IdentifierTypeStateIssuer
8316OtherCAHEARING AID DISPENSER

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
8316CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC Past Accepting new patients
Hearx West Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1922592989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 MISTY CT",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012132",
            "telephone_number": "818-355-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SANTA ROSA RD STE 123",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127060",
            "telephone_number": "805-482-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENYUK",
        "first_name": "LAURIE",
        "middle_name": "B",
        "credential": "HA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER",
            "identifier": "8316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2018; 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.