Individual provider Active NPI

Cynthia Macedo

  • Hearing Instrument Specialist
  • Modesto, CA
National Provider Identifier
1962123604
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8799 Issued in CA
Practice address
1729 Tully Rd Ste 1
Modesto, CA 95350-4081
Phone
(209) 638-0500
Fax
(209) 638-0500
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 HA8799 CA Primary

Addresses

Primary practice location

1729 Tully Rd Ste 1
Modesto, CA 95350-4081

Mailing address

1729 Tully Rd Ste 1
Modesto, CA 95350-4081
Phone (209) 638-0500

Other practice location 1

1560 Geer Rd Ste C
Turlock, CA 95380-3262
Phone (209) 638-0500 ext. 4401

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
HA8799CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
CVHH, Inc Hearing Instrument Specialist CurrentSince Sep 20, 2022 Accepting new patients

Locations

580 E Bellevue Rd
Atwater, CA 95301
Phone 2096380500 ext. 4412

1729 Tully Rd
Ste 1
Modesto, CA 95350
Phone (209) 638-0500

1560 Geer Rd
Ste C
Turlock, CA 95380
Phone (209) 678-1420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1962123604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 TULLY RD STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504081",
            "telephone_number": "209-638-0500",
            "fax_number": "209-638-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 TULLY RD STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504081",
            "telephone_number": "209-638-0500",
            "fax_number": "209-638-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Geer Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953803262",
            "country_code": "US",
            "telephone_number": "209-638-0500 x4401",
            "fax_number": "209-638-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2022; 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.