Amanda Wheeler, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU3456 Issued in CA

Practice address

920 Park Row
Salinas, CA 93901-2407

Phone

(831) 422-4427

Fax

(831) 758-2407

NPI assigned

Dec 2, 2019

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Valley Center Hearing Clinic, Inc.

  • Assistive Technology Practitioner Audiologist
  • Salinas, CA
  • NPI 1215374434
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1174160790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 TRACY DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516425",
            "telephone_number": "408-623-5699",
            "fax_number": "831-758-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PARK ROW",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012407",
            "telephone_number": "831-422-4427",
            "fax_number": "831-758-2407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Tres Pinos Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "950235582",
            "country_code": "US",
            "telephone_number": "831-784-8388",
            "fax_number": "831-731-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "AMANDA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3456",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISPENSING AUDIOLOGIST LICENSE",
            "identifier": "AU3456",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5615 Scotts Valley Dr",
            "city": "Scotts Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950663492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Madillene Western, ASW
• Matthew A Wetzel, D.D.S.
• Richard Scott Weyland, NP
• Ellre White, PA-C
• Kelsey Marion White
• Melissa Conroy White, PA-C
• Sharon Whiteley
• Robert C Whitesell, M.D.

• Audiologist in Salinas, CA
• Providers in Salinas, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.