Organization Active NPI

Peninsula Hearing Center, Inc

  • Audiologist
  • San Diego, CA
National Provider Identifier
1154649119
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PENINSULA HEARING CENTER, INC
Practice address
1310 Rosecrans St
Suite a
San Diego, CA 92106-2643
Phone
(619) 756-7848
Fax
(619) 564-7056
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dena Riso, AUDNPI 1568641843
Title
Manager
Phone
(619) 756-7848

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

1310 Rosecrans St
Suite a
San Diego, CA 92106-2643

Mailing address

1310 Rosecrans St
Suite a
San Diego, CA 92106-2643
Phone (619) 756-7848

Other practice location 1

230 Prospect Pl Ste 210
Coronado, CA 92118-1980
Phone (619) 756-7848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000179 CA Part B Supplier - Clinic/Group Practice 1759563372 Receives reassigned benefits from 2 practitioners
Practice locations: Coronado, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

1310 Rosecrans St
Ste A
San Diego, CA 92106
Phone (619) 756-7848

16486 Bernardo Center Dr
Ste 140
San Diego, CA 92128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1154649119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ROSECRANS ST",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062643",
            "telephone_number": "619-756-7848",
            "fax_number": "619-564-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROSECRANS ST",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062643",
            "telephone_number": "619-756-7848",
            "fax_number": "619-564-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Prospect Pl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181980",
            "country_code": "US",
            "telephone_number": "619-756-7848",
            "fax_number": "619-564-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENINSULA HEARING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "RISO",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-756-7848",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.