PACIFIC COAST HEARING AID CENTER, INC. (NPI# 1649887779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649887779 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST HEARING AID CENTER, INC. |
| Practice Address |
103 Cypress St Fort Bragg CA 95437-5401 |
| Practice Telephone | 7079629230 |
| Practice Fax Number | 7074096856 |
| Mailing Telephone | 7079629230 |
| Mailing Fax Number | 7074096856 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MR. DAVID L PELLANDINI (OWNER) |
| Authorized Official Telephone | 7079629230 |
| Authorized Official Credential | HAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| Street Address |
103 CYPRESS ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932477460 | David L Pellandini | Hearing Instrument Specialist | 103 Cypress St, Fort Bragg, CA 95437-5401 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558917328 | Taeyoung Celina Corporation | Hearing Aid Equipment | 165 E Rowland Street, Covina, CA 91723-3049 | 2019-08-16 |
| 1306401229 | Eargo Hearing, Inc. | Hearing Aid Equipment | 1600 Technology Dr Fl 6, San Jose, CA 95110-1382 | 2019-05-06 |
| 1457841454 | Northland Hearing Center Inc | Hearing Aid Equipment | 836 6th St, Los Banos, CA 93635-4214 | 2018-05-15 |
| 1255835179 | Costco Wholesale Corporation | Hearing Aid Equipment | 5030 Hamner Ave., Eastvale, CA 91752 | 2018-03-23 |
| 1356858567 | Yolanda Santana | Hearing Aid Equipment | 3920 Grand Ave Ste E, Chino, CA 91710-5484 | 2018-01-09 |
| 1750890091 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 237 S Glendora Ave, Glendora, CA 91741-3451 | 2017-09-28 |
| 1649710682 | Value Hearing (fairfield) LLC | Hearing Aid Equipment | 1371 Oliver Rd, Ste. B, Fairfield, CA 94534-3470 | 2017-02-23 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1619415684 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 40315 Junction Dr Ste B, Oakhurst, CA 93644-9159 | 2017-02-09 |
| 1386193308 | Lardik Enterprises Inc | Hearing Aid Equipment | 4321 Piedmont Ave, Oakland, CA 94611-4740 | 2016-10-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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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.