Active NPI
Ellen J King, AU.D.
- Audiologist
- Menlo Park, CA
National Provider Identifier
1134295421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1712
- Practice address
- 321 Middlefield Rd.
Menlo Park, CA 94025 - Phone
- (650) 498-6500
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1712 | CA | Primary |
Addresses
Primary practice location
321 Middlefield Rd.
Menlo Park, CA 94025
Mailing address
PO Box 60000 File # 72484
San Francisco, CA 94160
Phone (650) 498-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU1712 | CA | MD | Audiologist |
| 1712 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1134295421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000 FILE # 72484",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94160",
"telephone_number": "650-498-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MIDDLEFIELD RD.",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-498-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ELLEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.