Active NPI
Patricia Lynn MC Crumb, M.S.
- Audiologist
- San Jose, CA
National Provider Identifier
1215018809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2383
- Practice address
- 696 E. Santa Clara Street
Suite 110
San Jose, CA 95112 - Phone
- (408) 288-6604
- Fax
- (408) 288-8524
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 2383 | CA | Primary |
Addresses
Primary practice location
696 E. Santa Clara Street
Suite 110
San Jose, CA 95112
Mailing address
107 S Mary Ave
39
Sunnyvale, CA 94086-5810
Phone (408) 242-2831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU 0023830 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2383 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Solutions | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- San Jose, CA
- NPI 1578622544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1215018809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S MARY AVE",
"address_2": "39",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865810",
"telephone_number": "408-242-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 E. SANTA CLARA STREET",
"address_2": "SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-288-6604",
"fax_number": "408-288-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC CRUMB",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 2383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU 0023830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.