Individual provider Active NPI

Lee Weissman, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Novato, CA
National Provider Identifier
1033410501
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2748 Issued in CA
Practice address
505A San Marin Drive
Suite 130
Novato, CA 94945-2684
Phone
(415) 456-4302
Fax
(415) 480-6705
NPI assigned
Nov 15, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2748 CA
Assistive Technology Practitioner Audiologist 231HA2400X AU2748 CA
Assistive Technology Supplier Audiologist 231HA2500X AU2748 CA
Audiologist-Hearing Aid Fitter 237600000X AU2748 CA Primary

Addresses

Primary practice location

505A San Marin Drive
Suite 130
Novato, CA 94945-2684

Mailing address

505A San Marin Drive
Suite 130
Novato, CA 94945-2684
Phone (415) 456-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000196 CA Practitioner - Qualified Audiologist 2466620729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 A San Marin Dr
Suite 130
Novato, CA 94945-1321
Phone (415) 456-4302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lee M. Weissman, Au.D, Audiologist Professional Corporation Audiologist CurrentSince Oct 12, 2012 Accepting new patients
Hearing Zone Inc Audiologist-Hearing Aid Fitter CurrentSince Apr 11, 2016 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

2314 Central Ave
Alameda, CA 94501
Phone (510) 865-8113

505 San Marin Dr
Ste 130
Novato, CA 94945
Phone (415) 456-4302

505 San Marin Dr
Ste A130
Novato, CA 94945
Phone (415) 456-4327

3346 Lakeshore Ave
Oakland, CA 94610
Phone (209) 747-1341

2154 4th St
Ste B
San Rafael, CA 94901
Phone (415) 456-4327

8911 Lakewood Dr
Ste 27A
Windsor, CA 95492
Phone (707) 620-5996

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033410501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505A SAN MARIN DRIVE",
            "address_2": "SUITE 130",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452684",
            "telephone_number": "415-456-4302",
            "fax_number": "415-480-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505A SAN MARIN DRIVE",
            "address_2": "SUITE 130",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452684",
            "telephone_number": "415-456-4302",
            "fax_number": "415-480-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2748",
            "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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.