Organization Active NPI

Audioscope Audiology Group Apc

  • Audiologist-Hearing Aid Fitter
  • San Diego, CA
National Provider Identifier
1215003553
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
AUDIOSCOPE AUDIOLOGY GROUP APC
Practice address
2815 Camino del Rio S
Suite 220
San Diego, CA 92108-3815
Phone
(858) 279-6772
Fax
(858) 279-7505
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Dr. Gayle Ellen Hicks, PHD
Title
President
Phone
(858) 279-6772

Specialties & licenses 1

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

Addresses

Primary practice location

2815 Camino del Rio S
Suite 220
San Diego, CA 92108-3815

Mailing address

2815 Camino del Rio S
Suite 220
San Diego, CA 92108-3815
Phone (858) 279-6772

Other identifiers 1

IdentifierTypeStateIssuer
GAU000040MedicaidCA

Other names 1

  • Audioscope Former legal business name

National Provider Directory

National Provider Directory

Locations

3702 Ruffin Rd
Ste 100
San Diego, CA 92123
Phone (619) 297-4300

2815 Camino del Rio S
Ste 220
San Diego, CA 92108
Phone (858) 279-6771

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1215003553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CAMINO DEL RIO S",
            "address_2": "SUITE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083815",
            "telephone_number": "858-279-6772",
            "fax_number": "858-279-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CAMINO DEL RIO S",
            "address_2": "SUITE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083815",
            "telephone_number": "858-279-6772",
            "fax_number": "858-279-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOSCOPE AUDIOLOGY GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-279-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU000040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audioscope",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 30, 2016; 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.