Individual provider Active NPI

Gerald Edward Vietor

  • Hearing Instrument Specialist
  • Modesto, CA
National Provider Identifier
1932692142
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA3131 Issued in CA
Practice address
802 14TH St Ste N
Modesto, CA 95354-1029
Phone
(209) 501-5648
Fax
(209) 346-7117
NPI assigned
Jun 12, 2018
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 HA3131 CA Primary

Addresses

Primary practice location

802 14TH St Ste N
Modesto, CA 95354-1029

Mailing address

802 14TH St Ste N
Modesto, CA 95354-1029
Phone (209) 501-5648

Other identifiers 1

IdentifierTypeStateIssuer
HA3131OtherCASTATE OF CALIFORNIA

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
HA3131CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing AIDS LLC Current Accepting new patients

Locations

1150 W Orangeburg Ave
Modesto, CA 95350
Phone (209) 269-8883

802 14th St
Ste N
Modesto, CA 95354
Phone (209) 501-5648

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1932692142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 14TH ST STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541029",
            "telephone_number": "209-501-5648",
            "fax_number": "209-346-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 14TH ST STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541029",
            "telephone_number": "209-501-5648",
            "fax_number": "209-346-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETOR",
        "first_name": "GERALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "HA3131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.