Individual provider Active NPI

Jenna Maria Morishita

  • Audiologist
  • San Francisco, CA
National Provider Identifier
1033766936
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3435 Issued in CA
Practice address
3838 California St RM 505
San Francisco, CA 94118-1507
Phone
(415) 751-4914
NPI assigned
Aug 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3435 CA Primary

Addresses

Primary practice location

3838 California St RM 505
San Francisco, CA 94118-1507

Mailing address

45 Castro St
Ste 210
San Francisco, CA 94114-1038
Phone (415) 626-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3435CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1033766936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141038",
            "telephone_number": "415-626-4900",
            "fax_number": "415-616-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 505",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181507",
            "telephone_number": "415-751-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISHITA",
        "first_name": "JENNA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.