Provider Demographics
NPI:1053734814
Name:DELTA HEARING CENTER, INC
Entity type:Organization
Organization Name:DELTA HEARING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:530-753-3228
Mailing Address - Street 1:1105 KENNEDY PL STE 3
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1272
Mailing Address - Country:US
Mailing Address - Phone:530-753-3228
Mailing Address - Fax:530-750-3314
Practice Address - Street 1:1105 KENNEDY PL STE 3
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1272
Practice Address - Country:US
Practice Address - Phone:530-753-3228
Practice Address - Fax:530-750-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1972237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ214352Medicare PIN
CAP40050Medicare UPIN