Active NPI
Mattison Audiology
- Audiologist
- Arcata, CA
National Provider Identifier
1205934361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 301
- Legal business name
- MATTISON AUDIOLOGY
- Practice address
- 3770 Janes Rd
Arcata, CA 95521-4744 - Phone
- (707) 822-9122
- Fax
- (707) 822-1969
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger W Mattison, M.S.
- Title
- Proprietor
- Phone
- (707) 822-9122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 301 | CA | Primary |
Addresses
Primary practice location
3770 Janes Rd
Arcata, CA 95521-4744
Mailing address
3770 Janes Rd
Arcata, CA 95521-4744
Phone (707) 822-9122
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205934361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 JANES RD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214744",
"telephone_number": "707-822-9122",
"fax_number": "707-822-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 JANES RD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214744",
"telephone_number": "707-822-9122",
"fax_number": "707-822-1969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTISON AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATTISON",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "707-822-9122",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU 301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.