Active NPI
Linda L. Wolff
- Audiologist
- Lodi, CA
National Provider Identifier
1023352192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2177
- Legal business name
- LINDA L. WOLFF
- Practice address
- 1040 W Kettleman LN
#381
Lodi, CA 95240-6056 - Phone
- (866) 242-8779
- Fax
- (866) 316-4957
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda L Wolff, MA
- Title
- Audiologist
- Phone
- (866) 242-8779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2177 | CA | Primary |
Addresses
Primary practice location
1040 W Kettleman LN
#381
Lodi, CA 95240-6056
Mailing address
1040 W Kettleman LN
#381
Lodi, CA 95240-6056
Phone (866) 242-8779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871591917 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1040 W Kettleman Ln
#381
Lodi, CA 95240
Phone (866) 242-8779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1023352192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 W KETTLEMAN LN",
"address_2": "#381",
"city": "LODI",
"state": "CA",
"postal_code": "952406056",
"telephone_number": "866-242-8779",
"fax_number": "866-316-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W KETTLEMAN LN",
"address_2": "#381",
"city": "LODI",
"state": "CA",
"postal_code": "952406056",
"telephone_number": "866-242-8779",
"fax_number": "866-316-4957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA L. WOLFF",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "866-242-8779",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU2177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871591917",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.