Individual provider Active NPI

Mike Johnson, HEARING AID SPECIALI

  • Specialist
  • Sun City, CA
National Provider Identifier
1972654804
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HA3515 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
HA3515CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.