Active NPI
Menifee Hearing Aid LLC
- Hearing Aid Equipment
- Menifee, CA
National Provider Identifier
1972800860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- HA1572
- Legal business name
- MENIFEE HEARING AID LLC
- Practice address
- 26010 McCall Blvd
Suite G
Menifee, CA 92586-1983 - Phone
- (951) 246-8229
- Fax
- (951) 246-8278
- NPI assigned
- Feb 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Lee Jester, HIS
- Title
- Hearing Aid Specialist
- Phone
- (951) 246-8229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | HA1572 | CA | Primary |
Addresses
Primary practice location
26010 McCall Blvd
Suite G
Menifee, CA 92586-1983
Mailing address
26010 McCall Blvd
Suite G
Menifee, CA 92586-1983
Phone (951) 246-8229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ80008Z | Other | CA | STATE OF CA |
National Provider Directory
National Provider DirectoryLocations
26010 McCall Blvd
Ste G
Menifee, CA 92586
Phone (951) 246-8229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302825600000",
"number": "1972800860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26010 MCCALL BLVD",
"address_2": "SUITE G",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925861983",
"telephone_number": "951-246-8229",
"fax_number": "951-246-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26010 MCCALL BLVD",
"address_2": "SUITE G",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925861983",
"telephone_number": "951-246-8229",
"fax_number": "951-246-8278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENIFEE HEARING AID LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-11",
"last_updated": "2011-04-15",
"status": "A",
"authorized_official_last_name": "JESTER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "HEARING AID SPECIALIST",
"authorized_official_telephone_number": "951-246-8229",
"authorized_official_credential": "HIS"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "CA",
"license": "HA1572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CA",
"identifier": "ZZZ80008Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.