MR. JERRY S ANDERSON (NPI# 1790077121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790077121 |
| Entity Type | Individual |
| Full Name | MR. JERRY S ANDERSON |
| Practice Address |
24012 Calle De La Plata Ste 215 Laguna Hills CA 92653-3621 |
| Mailing Address |
215 Shuman Blvd Ste. 401 Naperville IL 60563-8458 |
| Practice Telephone | 9494600617 |
| Practice Fax Number | 9499512750 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 9783136824 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA7505 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549373 | Jerry Anderson | Technician | 3061 Old Logan Rd, Logan, WV 25601-3367 | 2020-08-20 |
| 1790164234 | Jerry Anderson | Psychologist | 1067 Pr 2262, Giddings, TX 78942-6171 | 2015-05-28 |
| 1689965519 | Jerry L Anderson | Contractor | 6493 Fitz Ln, Tallahassee, FL 32311-9327 | 2011-04-26 |
| 1245689363 | Jerry Anderson | Behavioral Analyst | 9586 Carrari Ct, Alta Loma, CA 91737-1607 | 2016-06-09 |
| 1144348061 | Jerry Ronald Anderson | Counselor | 800 N Main St, Suite N, Corsicana, TX 75110-3031 | 2007-03-27 |
| 1194861922 | Jerry Lee Anderson | Physical Therapist | 1151 N Rock Rd, Wichita, KS 67206-1262 | 2007-01-29 |
| 1356351688 | Jerry M Anderson Jr. | Obstetrics & Gynecology | 34509 9th Ave S, Ste 207, Federal Way, WA 98003-6700 | 2006-08-09 |
| 1952368805 | Jerry E Anderson | Radiology | 1218 S Broadway, Suite 310, Lexington, KY 40504-2759 | 2006-04-26 |
| 1942299573 | Jerry S Anderson | Chiropractor | 1431 S College St, Winchester, TN 37398-2414 | 2005-10-17 |
| Street Address |
24012 CALLE DE LA PLATA STE 215 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284108 | George Samuel Konugres | Internal Medicine | 24012 Calle De La Plata, Ste 150, Laguna Hills, CA 92653-3621 | 2005-06-13 |
| 1508318411 | Interventional Spine Center, LLC | Clinic/Center | 24012 Calle De La Plata, Suite 130, Laguna Hills, CA 92653 | 2016-10-26 |
| 1134586126 | Kiet Loc Apc | Psychiatry & Neurology | 24012 Calle De La Plata, Suite 150, Laguna Hills, CA 92653-3621 | 2016-01-21 |
| 1477946747 | Erika Cruz | Nurse Practitioner | 24012 Calle De La Plata, Suite 120, Laguna Hills, CA 92653-3621 | 2015-03-11 |
| 1144639436 | Parentis Home Care Providers, Inc. | In Home Supportive Care | 24012 Calle De La Plata, Suite 400a, Laguna Hills, CA 92653-3621 | 2014-08-12 |
| 1740699180 | Parentis Home Health Care, Inc. | Home Health | 24012 Calle De La Plata, Suite 405, Laguna Hills, CA 92653-3621 | 2014-08-11 |
| 1851708853 | Parentis Hospice and Health Care, Inc | Hospice Care, Community Based | 24012 Calle De La Plata, Suite 400, Laguna Hills, CA 92653-3621 | 2014-07-22 |
| 1215289327 | Connect Hearing, Inc. | Audiologist | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2012-10-12 |
| 1508166265 | Mary Elizabeth Pongetti | Physical Therapist | 24012 Calle De La Plata, Suite 300, Laguna Hills, CA 92653-3621 | 2010-10-28 |
| 1568792083 | Newport Health Network, Inc | Audiologist-Hearing Aid Fitter | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1164996328 | Edwin Andrew Krone | Hearing Instrument Specialist | 23521 Paseo De Valencia Ste 209, Laguna Hills, CA 92653-3140 | 2019-01-21 |
| 1730536566 | Kristin Dennis | Hearing Instrument Specialist | 24012 Calle De La Plata Ste 215, Laguna Hills, CA 92653-7624 | 2016-05-23 |
| 1720460116 | Connect Hearing, Inc. | Hearing Instrument Specialist | 23685 Moulton Pkwy, Ste B1, Laguna Hills, CA 92653-1938 | 2015-06-23 |
| 1154670099 | Monte N Westall | Hearing Instrument Specialist | 24300 Laguna Hills Mall, Laguna Hills, CA 92653 | 2012-09-06 |
| 1801145990 | Gaylord R Wert | Hearing Instrument Specialist | 24300 Laguna Hills Mall, Laguna Hills, CA 92653 | 2012-09-05 |
| 1750367298 | James Richard Lane Italiane | Hearing Instrument Specialist | 24022 Calle De La Plata, Suite 415, Laguna Hills, CA 92653-3626 | 2005-12-16 |
| 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 | LAGUNA HILLS |
| Zip Code | 92653 |
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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.