Provider Demographics
NPI:1790977015
Name:HIGGINS, ERICA J (AUD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:J
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:J
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26726 CROWN VALLEY PKWY.,
Mailing Address - Street 2:SUITE 210 O.C. PHYSICIANS HEARING SERVICES
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-364-4361
Mailing Address - Fax:949-364-4495
Practice Address - Street 1:26726 CROWN VALLEY PKWY.,
Practice Address - Street 2:SUITE 210 O.C. PHYSICIANS HEARING SERVICES
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-364-4361
Practice Address - Fax:949-364-4495
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2534231H00000X
CAHA7272237700000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW8109OtherGROUP PTAN
CAAP090ZOtherINDIVIDUAL PTAN
CAAR980ZOtherPTAN
AR980ZMedicare PIN
CAW8109OtherGROUP PTAN