Organization Active NPI

Menifee Hearing Aid LLC

  • Hearing Aid Equipment
  • Menifee, CA
National Provider Identifier
1972800860
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HA1572 Issued in CA
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

Updated by the provider on Apr 15, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ80008ZOtherCASTATE OF CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.