SUTTER HEARING AID CENTER (NPI# 1710266440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710266440 |
| Entity Type | Organization |
| Organization Name | SUTTER HEARING AID CENTER |
| Practice Address |
2633 Pacific Ave Ste 2 Stockton CA 95204-4429 |
| Practice Telephone | 2094662443 |
| Practice Fax Number | 2094662124 |
| Mailing Telephone | 2094662443 |
| Mailing Fax Number | 2094662124 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | MRS. DINAH DAVIS (PRESIDENT) |
| Authorized Official Telephone | 2094662443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA3210 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1144321118 | 05 |
| Street Address |
2633 PACIFIC AVE STE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1306245907 | Mitchel Concepcion | Hearing Instrument Specialist | 880 W Benjamin Holt Dr, Stockton, CA 95207-3652 | 2014-08-19 |
| 1013326255 | Deborah Bond | Hearing Instrument Specialist | 880 W Benjamin Holt Dr, Stockton, CA 95207-3652 | 2014-08-12 |
| 1801943576 | Jeffery T Brotherton | Hearing Instrument Specialist | 1545 St Marks Plaza, Suite 6, Stockton, CA 65207-6411 | 2007-01-04 |
| 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 | ||||
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| 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.