Provider Demographics
NPI:1346297579
Name:ALTENEDER, HEIDI C
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:C
Last Name:ALTENEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N 5TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3711
Mailing Address - Country:US
Mailing Address - Phone:626-321-9944
Mailing Address - Fax:626-380-9262
Practice Address - Street 1:5500 MING AVE STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4619
Practice Address - Country:US
Practice Address - Phone:661-218-4766
Practice Address - Fax:661-498-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
CAHA4030237700000X
CAAU2049237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0020490Medicaid