GLEN ERIC FAIRFIELD (NPI# 1639304173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639304173 |
| Entity Type | Individual |
| Full Name | GLEN ERIC FAIRFIELD |
| Practice Address |
160 N 9th St Grover Beach CA 93433-2122 |
| Mailing Address |
File #55745 Los Angeles CA 90074-5745 |
| Practice Telephone | 8054811523 |
| Practice Fax Number | 8054811269 |
| Mailing Telephone | 5614788770 |
| Mailing Fax Number | 5616888877 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2915 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
160 N 9TH ST |
| City | GROVER BEACH |
| State | CA |
| Zip Code | 93433-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366453078 | Loretta L Walker Enterprises Incorperated | Durable Medical Equipment & Medical Supplies | 160 N 9th St, Grover Beach, CA 93433-2122 | 2006-08-10 |
| 1538384243 | Loretta Walker | Hearing Instrument Specialist | 160 N 9th St, Grover Beach, CA 93433-2122 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382783 | Melissa Ann Richardson | Registered Nurse | 286 S. 16th Street, Grover Beach, CA 93433 | 2017-01-10 |
| 1447637475 | Katherine Clair Verwest | Counselor | 1428 Brighton Ave., Grover Beach, CA 93433 | 2015-04-28 |
| 1033552997 | Randall Gaynor Rodman | Dentist | 200 South 13th Street, No 109, Grover Beach, CA 93433 | 2013-04-10 |
| 1154685352 | Allyson N Thompson-knox | Marriage & Family Therapist | 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 | 2012-07-02 |
| 1851546436 | Jay Alan Turner | Counselor | 1206 Capitola Street, Grover Beach, CA 93433 | 2008-11-24 |
| 1407043862 | Ginette Gallagher II | Public Health or Welfare | 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 | 2007-10-01 |
| 1700099090 | Cynthia Kae Nelson | Counselor | 767 Ramona Ave, Grover Beach, CA 93433 | 2007-05-07 |
| 1861614158 | Steven Hideki Yoneda | Specialist/Technologist | 1660 Manhattan Avenue, Grover Beach, CA 93433 | 2007-05-03 |
| 1265557136 | Jenna Eyton Wolfson | Social Worker | 901 Ramona Ave # I, Grover Beach, CA 93433 | 2007-03-20 |
| 1922169655 | Donna Maurine Van Pelt | Marriage & Family Therapist | 150b S 6th St, Grover Beach, CA 93433 | 2006-12-13 |
| Find all providers in zip 93433 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700443090 | Chandra E. Koeller | Hearing Instrument Specialist | 1551 W Grand Ave, Grover Beach, CA 93433-2226 | 2019-05-22 |
| 1730414343 | Michael Scott Colbert | Hearing Instrument Specialist | 1551 W Grand Ave, Grover Beach, CA 93433-2226 | 2009-10-15 |
| 1538384243 | Loretta Walker | Hearing Instrument Specialist | 160 N 9th St, Grover Beach, CA 93433-2122 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1497368450 | Edwin Van Capelle | Hearing Instrument Specialist | 15758 La Forge St, Whittier, CA 90603-2334 | 2020-08-28 |
| 1538779830 | Elizabeth Guadalupe Barragan | Hearing Instrument Specialist | 1101 W Tokay St Ste 4, Lodi, CA 95240-3842 | 2020-08-03 |
| 1306474366 | Andy Zavala | Hearing Instrument Specialist | 450 Fourth Ave Ste 300, Chula Vista, CA 91910-4429 | 2020-03-27 |
| 1518594266 | Trinity Hearing Aid, Inc | Hearing Instrument Specialist | 16575 Brookhurst St, Fountain Valley, CA 92708-2337 | 2020-03-24 |
| 1891321964 | Barry Nabors | Hearing Instrument Specialist | 3395 S Bascom Ave Ste 100, Campbell, CA 95008-6770 | 2020-03-20 |
| 1720613169 | Sabrina Ko | Hearing Instrument Specialist | 2895 Loma Vista Rd Ste D, Ventura, CA 93003-1527 | 2020-03-05 |
| 1891329553 | Christina Marie Garcia | Hearing Instrument Specialist | 1079 Eucalyptus St Ste B, Manteca, CA 95337-4317 | 2020-03-02 |
| 1174157812 | Peter Paul Vidal | Hearing Instrument Specialist | 2031 W Alameda Ave Ste 340, Burbank, CA 91506-2960 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | GROVER BEACH |
| Zip Code | 93433 |
Please comment or provide details below to improve the information on GLEN ERIC FAIRFIELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.