Exceptional Hearing Services of Northern California, Inc.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU 2679 Issued in CA

Legal business name

EXCEPTIONAL HEARING SERVICES OF NORTHERN CALIFORNIA, INC.

Doing business as

Beltone of Northern CA

Practice address

4340 Redwood Hwy # A12
San Rafael, CA 94903-2121

Phone

(415) 499-7766

Fax

(415) 491-1336

NPI assigned

Aug 11, 2014

Last updated

Sep 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Gibson, AU.D.

Title

Dr. of Audiology/Owner

Phone

(415) 499-7766

Specialties & licenses 1

Addresses

Other names 1

• Beltone of Northern CA Doing business as

Locations

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1164831426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY # A12",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032121",
            "telephone_number": "415-499-7766",
            "fax_number": "415-491-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY # A12",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032121",
            "telephone_number": "415-499-7766",
            "fax_number": "415-491-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL HEARING SERVICES OF NORTHERN CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DR. OF AUDIOLOGY/OWNER",
        "authorized_official_telephone_number": "415-499-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone of Northern CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Michelle Estrada, MA
• Cassandra Evans
• Cheryl Evans
• Evia Diagnostics Marin LLC (Arcpoint Labs of San Rafael)
• Exceptional Hearing Services
• Eyedesigns Optometry
• Chinedu John Ezeji-Okoye, DDS
• Brigitte Faas, DC
• Ashley Malone Fagan
• Miriam Fagan, PSYD

• Audiologist-Hearing Aid Fitter in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.