NPIMap

Organization Active NPI

Pine River, Inc.

  • Audiologist-Hearing Aid Fitter
  • Fairfield, CA
National Provider Identifier
1144592445
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1089 Issued in CA
Legal business name
PINE RIVER, INC.
Practice address
1287 Oliver Rd
Fairfield, CA 94534-3468
Phone
(707) 426-4327
Fax
(707) 426-5190
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Ms. Denise L Martin-Sahim, AU.D.NPI 1023182425
Title
Audiologist
Phone
(707) 642-8862

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AU1089 CA Primary

Addresses

Primary practice location

1287 Oliver Rd
Fairfield, CA 94534-3468

Mailing address

1287 Oliver Rd
Fairfield, CA 94534-3468
Phone (707) 426-4327

Other identifiers 1

IdentifierTypeStateIssuer
AU0010890MedicaidCA

Other names 1

  • Hearing Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ellen L Anderson Au4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1287 Oliver Rd
Fairfield, CA 94534
Phone (707) 426-4327

Practitioners & affiliated clinicians

Practitioners 2

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1144592445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343468",
            "telephone_number": "707-426-4327",
            "fax_number": "707-426-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343468",
            "telephone_number": "707-426-4327",
            "fax_number": "707-426-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN-SAHIM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "707-642-8862",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0010890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.