PHS SAN CLEMENTE, INC. (NPI# 1972754448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972754448 |
| Entity Type | Organization |
| Organization Name | PHS SAN CLEMENTE, INC. |
| Other Organization Name | HEARING CENTER OF SAN CLEMENTE |
| Practice Address |
675 Camino De Los Mares Suite 420 San Clemente CA 92673-2835 |
| Practice Telephone | 9494962307 |
| Practice Fax Number | 9494968688 |
| Mailing Telephone | 9494962307 |
| Mailing Fax Number | 9494968688 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | DR. JOHN RAYMOND COLEMAN (PRESIDENT) |
| Authorized Official Telephone | 9493644361 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Hearing Center of San Clemente | Doing Business As Name - Organization |
| Street Address |
675 CAMINO DE LOS MARES SUITE 420 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316925761 | Maraya A. Altuwaijri | Surgery | 675 Camino De Los Mares, Suite 403, San Clemente, CA 92673 | 2006-01-05 |
| 1184112229 | H. Bronson Bassir Dds Inc | Dentist | 675 Camino De Los Mares, Suite 304, San Clemente, CA 92673 | 2018-04-24 |
| 1912370040 | Mona Soliman Dds Inc | Dentist | 675 Camino De Los Mares, #501, San Clemente, CA 92673-2835 | 2015-11-11 |
| 1891178273 | Wave Imaging LLC | Clinic/Center | 675 Camino De Los Mares, Suite 101, San Clemente, CA 92673-2835 | 2015-07-03 |
| 1659787596 | Jay Gerard Tassin | Radiology | 675 Camino De Los Mares, Suite 400, San Clemente, CA 92673-2835 | 2014-07-10 |
| 1407272669 | Bryan Leigh | Radiology | 675 Camino De Los Mares, San Clemente, CA 92673-2835 | 2014-03-12 |
| 1821313370 | Memorialcare Imaging Center At San Clemente, LLC | Clinic/Center | 675 Camino De Los Mares, Suite 101, San Clemente, CA 92673 | 2010-03-27 |
| 1275770661 | Renee Sue Pozza | Registered Nurse | 675 Camino De Los Mares, Suite 210, San Clemente, CA 92673-2835 | 2009-01-07 |
| 1497925747 | Liwen Cheng | Dentist | 675 Camino De Los Mares, Ste 304, San Clemente, CA 92673-2835 | 2008-03-03 |
| 1265613392 | William Capobianco, D.d.s., Inc | Dentist | 675 Camino De Los Mares, Suite 303, San Clemente, CA 92673-2835 | 2007-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477626430 | William Allen Schade | Audiologist | 3553 Camino Mira Costa, Suite C, San Clemente, CA 92672-3512 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.