Organization Active NPI

Lee M. Weissman, Au.D, Audiologist Professional Corporation

  • Audiologist-Hearing Aid Fitter
  • Novato, CA
National Provider Identifier
1093066441
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2748 Issued in CA
Legal business name
LEE M. WEISSMAN, AU.D, AUDIOLOGIST PROFESSIONAL CORPORATION
Practice address
505 San Marin Dr Ste A130
Novato, CA 94945-1372
Phone
(415) 456-4327
Fax
(415) 480-6705
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Lee M Weissman, AU.DNPI 1033410501
Title
President
Phone
(415) 456-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AU2748 CA
Assistive Technology Practitioner AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2400X AU2748 CA
Assistive Technology Supplier AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2500X AU2748 CA
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AU2748 CA Primary

Addresses

Primary practice location

505 San Marin Dr Ste A130
Novato, CA 94945-1372

Mailing address

2154 4TH St
Suite B
San Rafael, CA 94901-2684
Phone (415) 456-4327

Other practice location 1

8911 Lakewood Dr Ste 27A
Windsor, CA 95492-7860
Phone (707) 620-5996

Other names 2

  • Hear So Good Doing business as
  • Hear So Good Audiology & Hearing Aids Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000501 CA Part B Supplier - Clinic/Group Practice 2668623000 Receives reassigned benefits from 1 practitioner
Practice locations: Novato, CA

National Provider Directory

National Provider Directory

Locations

505 San Marin Dr
Ste A300
Novato, CA 94945

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

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1093066441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 4TH ST",
            "address_2": "SUITE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012684",
            "telephone_number": "415-456-4327",
            "fax_number": "415-524-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE A130",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451372",
            "telephone_number": "415-456-4327",
            "fax_number": "415-480-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8911 Lakewood Dr Ste 27A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954927860",
            "country_code": "US",
            "telephone_number": "707-620-5996",
            "fax_number": "415-480-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEE M. WEISSMAN, AU.D, AUDIOLOGIST PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-456-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "CA",
            "license": "AU2748",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hear So Good",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hear So Good Audiology & Hearing Aids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.