Active NPI
Mike Johnson, HEARING AID SPECIALI
- Specialist
- Sun City, CA
National Provider Identifier
1972654804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HA3515
- Practice address
- 26916 Cherry Hills Boulevard
Sun City, CA 92586 - Phone
- (951) 672-4940
- Fax
- (951) 672-7631
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | HA3515 | CA | Primary |
Addresses
Primary practice location
26916 Cherry Hills Boulevard
Sun City, CA 92586
Mailing address
26916 Cherry Hills Boulevard
Sun City, CA 92586
Phone (951) 672-4940
Other names 1
- Mr. Mike Abedi
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
| License | State | Type | Specialty |
|---|---|---|---|
| HA3515 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson and Johnson Hearing Aid Center | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Sun City, CA
- NPI 1215061221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1972654804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26916 CHERRY HILLS BOULEVARD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "92586",
"telephone_number": "951-672-4940",
"fax_number": "951-672-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26916 CHERRY HILLS BOULEVARD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "92586",
"telephone_number": "951-672-4940",
"fax_number": "951-672-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MIKE",
"name_prefix": "Mr.",
"credential": "HEARING AID SPECIALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "HA3515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "ABEDI",
"prefix": "MR.",
"credential": "HEARING AID SPECIALI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.