I’ve just deployed something similar to this via Telin.  I’m sure others
can do it too.  They have an automated system that verifies your
ownership/permission to use a phone number, and from then on, you can use
it and get either B or A attestation.  The most common interpretation of
the current regs is that this is the only way you can send off-net CLID in
the future.  If you want to have a live conversation about this I’m open to
a call.  It’s something I’ve been doing since the 90s and constantly
fighting the changing landscape on CLID.

If you’d like to talk to someone at Telin I can make an intro.  Great
people, solid service.


On Nov 19, 2025 at 9:07:54 AM, Aaron C. de Bruyn via VoiceOps <
[email protected]> wrote:

> I'm not entirely up on the whole FCC Caller ID Spoofing crackdown that's
> going on, but I just ran into a 3rd party service for medical offices that
> expects us to spoof Caller ID.
>
> The service works like this:
> * I  grab my cell phone (123-456-7890) and call my doctor/dentist/medical
> office
> * It's after hours and they are busy with other calls
> * Their phone system turns around and forwards my call to a 3rd-party
> number (say 111-222-3333) emitting my Caller ID info ("Aaron" <1234567890>)
> * They see a call come in on 111-222-3333 and know it's for "Dr. Bob's
> Office", so their system accesses his patient database and looks for my
> patient record with the phone number 123-456-7890 and someone answers the
> call saying "Thanks for calling Dr. Bob's office".
>
> My understanding is the ability to spoof Caller ID info across the PSTN is
> going away.
>
> I tested, and I certainly can't do it with a Twilio SIP trunk.
>
> The main reason I'm curious is I have a customer that has their own phone
> system that I help them manage (FreePBX linked to Twilio).  They just
> purchased an office that uses a 3rd-party phone provider (Weave) along with
> this 3rd-party answering service, and they are somewhat upset that I can't
> make it work with their existing phone system.  The third-party answering
> service doesn't have any way of interconnecting other than spoofing Caller
> ID over the PSTN to a random number they assigned to the medical office.
>
> Are services like this going the way of the dodo?  Are they having to set
> up private SIP trunks between clients to get this functionality?  Do some
> VoIP providers allow you to spoof Caller ID for this purpose under some
> sort of agreement?
>
> Thanks,
>
> -A
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