MARCIA SMITH BLANK


Address: 1300 W 155th St, 107, Gardena, CA 90247-4049
Phone: 3103275001

MARCIA SMITH BLANK (NPI# 1962570051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962570051
Entity Type Individual
Full Name MARCIA SMITH BLANK
Other Name MARCIA JEAN BLANK
Credential AU.D.
Practice Address 1300 W 155th St
107
Gardena
CA 90247-4049
Practice Telephone 3103275001
Practice Fax Number 3103272349
Mailing Telephone 3103275001
Mailing Fax Number 3103272349
Enumeration Date 2006-11-30
Last Update Date 2011-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 237600000X Audiologist-Hearing Aid Fitter HA1505 CA Speech, Language and Hearing Service Providers
Y 237600000X Audiologist-Hearing Aid Fitter AU751 CA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BLUE SHIELD AU0007510 01
CA AU0007510 05
MEDICARE AUD751B 01
BLUE SHIELD HA0015050 01
BLUE SHIELD AU0007511 01
CA HA0015051 05

Other Providers MARCIA BLANK

NPI Name Taxonomy Address Enumeration
1154461879 Marcia Blank Social Worker 46 Barberry Ln, Roslyn Heights, NY 11577-1502 2007-02-08

Office Location

Street Address 1300 W 155TH ST
107
City GARDENA
State CA
Zip Code 90247-4049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689610768 Cheryl J Hanks Physical Therapist 1300 W 155th St, Suite 203, Gardena, CA 90247 2006-06-20
1588110803 Sirach Acupuncture Inc Acupuncturist 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 2016-08-28
1629350178 Stance Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 1300 W 155th St, Suite 106, Gardena, CA 90247-4048 2011-09-11
1508164328 La County Department of Mental Health Rehabilitation Practitioner 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 2011-03-02
1306140637 Rivy Olasumbo Oseni Nurse Practitioner 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2010-12-30
1932409281 Janice Gregory Registered Nurse 1300 W 155th St, 103, Gardena, CA 90247-4048 2010-11-02
1932421484 Cre-sha A Beverly Counselor 1300 W 155th St, Gardena, CA 90247-4048 2010-02-25
1295057792 Gary David Barnett Counselor 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2010-02-24
1629302948 Etna L Gonzalez Registered Nurse 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2009-09-21
1629211396 Deanna Marie King Counselor 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2009-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204707 Melissa Reyes Home Health Aide 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 2020-10-30
1538645569 Christopher Jabarie Markham Case Manager/Care Coordinator 12817 S Hoover St Apt 14, Gardena, CA 90247 2018-07-12
1013404243 Sunshine Community Resource Organization Center Counselor 1202 W 135th Street, Gardena, CA 90247 2018-04-13
1124537261 Nina Vu Pharmacist 14416 Plum Lane, Unit 3, Gardena, CA 90247 2017-09-20
1356871008 Delaram Moshfegh Pharmacist 1735 Artesia Blvd, Gardena, CA 90247 2017-06-15
1497290522 Better Vision Optical Eyewear Supplier (Equipment, not the service) 1121 W Gardena Blvd Ste A, Gardena, CA 90247 2016-12-28
1013394832 Lydia Gonzalez Case Management 13605 S Vermont Ave Apt 16, Gardena, CA 90247 2015-04-30
1396147682 Daniel Medical Group, Inc. Acupuncturist 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 2014-09-18
1386913663 Linda Doreen Humphries Nurse Practitioner 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 2011-12-15
1215229547 Everett D Wong Social Worker 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 2011-05-04
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Taxonomy Information

Taxonomy Code 237600000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist-Hearing Aid Fitter

Taxonomy Definition

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".
Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548397169 Carrie Ritchie Audiologist-Hearing Aid Fitter 1141 W Redondo Beach Blvd Ste 402, Gardena, CA 90247-3582 2007-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083521 Auralcare Hearing Centers of America, LLC Audiologist-Hearing Aid Fitter 9100 Wilshire Blvd Ste 310e, Beverly Hills, CA 90212-3403 2020-11-06
1306454319 Beau Campa Audiologist-Hearing Aid Fitter 2623 Shadelands Dr Ste 1, Walnut Creek, CA 94598-2512 2020-07-15
1538777693 Caitlyn Nicole Mathews Audiologist-Hearing Aid Fitter 5360 Hollister Ave Ste 1, Santa Barbara, CA 93111-2334 2020-07-15
1366077059 Csg Better Hearing Services, Inc., A Professional Audiology Corp. Audiologist-Hearing Aid Fitter 744 Empire St Ste 210, Fairfield, CA 94533-5562 2020-03-03
1871133314 Chandan Hunsur Suresh Audiologist-Hearing Aid Fitter 8135 Painter Ave Ste 302, Whittier, CA 90602-3172 2020-01-13
1467098640 Yen Ngoc Luu Audiologist-Hearing Aid Fitter 200 N Harbor Blvd # 200, Fullerton, CA 92832-1815 2019-11-21
1992367494 Anne Bliss Audiologist-Hearing Aid Fitter 20126 Stanton Ave Ste 205, Castro Valley, CA 94546-5270 2019-07-03
1730748807 Bashar Ashouri Audiologist-Hearing Aid Fitter 1245 Wilshire Blvd Ste 603, Los Angeles, CA 90017-4806 2019-06-11
1124582143 Agility Hearing Care, An Audiology Corporation Audiologist-Hearing Aid Fitter 2081 Forest Ave Ste 224, San Jose, CA 95128-4841 2019-01-23
1669949012 Jessica Rose Hyde Audiologist-Hearing Aid Fitter 3333 Mendocino Ave Ste 115, Santa Rosa, CA 95403-3631 2018-10-24
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Competitor

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City GARDENA
Zip Code 90247

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Dataset Information

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.

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