Active NPI
Nesbitt Audiology, Inc
- Audiologist-Hearing Aid Fitter
- Encinitas, CA
National Provider Identifier
1023776200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- NESBITT AUDIOLOGY, INC
- Doing business as
- North Coast Audiology
- Practice address
- 4407 Manchester Ave Ste 108
Encinitas, CA 92024-4941 - Phone
- (760) 452-2140
- Fax
- (760) 452-2142
- NPI assigned
- Dec 3, 2021
- 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
- Mr. Matthew R Nesbitt, FAA
- Title
- President
- Phone
- (760) 452-2140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
4407 Manchester Ave Ste 108
Encinitas, CA 92024-4941
Mailing address
4407 Manchester Ave Ste 108
Encinitas, CA 92024-4941
Phone (760) 452-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B015564-10-2021 | Other | CA | CORPORATE BUSINESS LICENSE |
Other names 1
- North Coast Audiology
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@northcoastaudiology.com | North Coast Audiology |
National Provider Directory
National Provider DirectoryLocations
4407 Manchester Ave
Ste 108
Encinitas, CA 92024
Phone (760) 452-2140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638489600000",
"number": "1023776200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 MANCHESTER AVE STE 108",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244941",
"telephone_number": "760-452-2140",
"fax_number": "760-452-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 MANCHESTER AVE STE 108",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244941",
"telephone_number": "760-452-2140",
"fax_number": "760-452-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NESBITT AUDIOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "NESBITT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-452-2140",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FAA"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE BUSINESS LICENSE",
"identifier": "B015564-10-2021",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@northcoastaudiology.com",
"affiliation": "Y",
"affiliationName": "North Coast Audiology",
"address_1": "4407 Manchester Ave Ste 108",
"city": "Encinitas",
"state": "CA",
"country_code": "US",
"postal_code": "920244941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "North Coast Audiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.