Organization Active NPI

Linda L. Wolff

  • Audiologist
  • Lodi, CA
National Provider Identifier
1023352192
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2177 Issued in CA
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

Updated by the provider on Nov 15, 2012

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1871591917MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.