NPIMap

Organization Active NPI

Burbank Hearing Clinic a Professional Corporation

  • Audiologist
  • Burbank, CA
National Provider Identifier
1952575458
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2077 Issued in CA
Legal business name
BURBANK HEARING CLINIC A PROFESSIONAL CORPORATION
Practice address
127 N San Fernando Blvd
Burbank, CA 91502-1208
Phone
(818) 842-4069
Fax
(818) 848-1616
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mr. Courtlandt C. Warner, M.A., CCC-ANPI 1669512208
Title
President / Director / Audiologist
Phone
(818) 842-4069

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
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AU2077 CA Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X HA2679 CA

Addresses

Primary practice location

127 N San Fernando Blvd
Burbank, CA 91502-1208

Mailing address

127 N San Fernando Blvd
Burbank, CA 91502-1208
Phone (818) 842-4069

Other identifiers 1

IdentifierTypeStateIssuer
HA0026790MedicaidCA

National Provider Directory

National Provider Directory

Locations

127 N San Fernando Blvd
Burbank, CA 91502
Phone (818) 842-4069

Practitioners & affiliated clinicians

Practitioners 1

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1952575458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-842-4069",
            "fax_number": "818-848-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-842-4069",
            "fax_number": "818-848-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK HEARING CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "COURTLANDT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR / AUDIOLOGIST",
        "authorized_official_telephone_number": "818-842-4069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2077",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0026790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.