Active NPI
Carol M Surrey
- Audiologist
- Chula Vista, CA
National Provider Identifier
1215224613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 1456
- Practice address
- 386 E H St
Suite 202
Chula Vista, CA 91910-7485 - Phone
- (619) 691-1108
- Fax
- (619) 691-1109
- NPI assigned
- Jul 6, 2011
- 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 1456 | CA | Primary |
Addresses
Primary practice location
386 E H St
Suite 202
Chula Vista, CA 91910-7485
Mailing address
File # 55745
Los Angeles, CA 90074-5745
Phone (561) 478-8770
Other names 1
- Carol Mazur
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 1456 | CA | MD | Audiologist |
| 1456 | CA | MD | Advanced Practice Midwife |
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
- Bakersfield, CA
- NPI 1356398598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1215224613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 55745",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900745745",
"telephone_number": "561-478-8770",
"fax_number": "561-598-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 E H ST",
"address_2": "SUITE 202",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107485",
"telephone_number": "619-691-1108",
"fax_number": "619-691-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURREY",
"first_name": "CAROL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 1456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "MAZUR",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.