Organization Active NPI

Audiology Associates

  • Hearing and Speech Clinic/Center
  • Novato, CA
National Provider Identifier
1003171638
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
AU758 Issued in CA
Legal business name
AUDIOLOGY ASSOCIATES
Practice address
1615 Hill Rd
Suite 9
Novato, CA 94947-4340
Phone
(415) 209-9909
Fax
(415) 209-9985
NPI assigned
Jul 10, 2012
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter Marincovich, PH.D.,NPI 1447327507
Title
Audiologist/Owner
Phone
(707) 523-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X AU758 CA Primary

Addresses

Primary practice location

1615 Hill Rd
Suite 9
Novato, CA 94947-4340

Mailing address

1111 Sonoma Ave
Suite 316
Santa Rosa, CA 95405-4819
Phone (707) 523-4740

National Provider Directory

National Provider Directory
Tax ID family
Audiology Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1615 Hill Rd
Ste 9
Novato, CA 94947
Phone (415) 209-9909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1003171638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE",
            "address_2": "SUITE 316",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054819",
            "telephone_number": "707-523-4740",
            "fax_number": "707-523-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HILL RD",
            "address_2": "SUITE 9",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474340",
            "telephone_number": "415-209-9909",
            "fax_number": "415-209-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MARINCOVICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "707-523-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "AU758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.