Organization Active NPI

John F King Aud a Professional Audiology Corporation

Doing business as San Diego Earplugs

  • Hearing and Speech Clinic/Center
  • San Diego, CA
National Provider Identifier
1235611955
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
AU2684 Issued in CA
Legal business name
JOHN F KING AUD A PROFESSIONAL AUDIOLOGY CORPORATION
Doing business as
San Diego Earplugs
Soma Neuromonitoring
Practice address
6230 Hannon CT
San Diego, CA 92117-3327
Phone
(619) 838-8929
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. John F. King, AU.D.NPI 1194055715
Title
Ceo
Phone
(619) 838-8929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X AU2684 CA Primary

Addresses

Primary practice location

6230 Hannon CT
San Diego, CA 92117-3327

Mailing address

PO Box 177002
San Diego, CA 92177-0002

Other names 2

  • San Diego Earplugs Doing business as
  • Soma Neuromonitoring Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190402001292 CA Part B Supplier - Clinic/Group Practice 8527309418 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1235611955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921770002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 HANNON CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173327",
            "telephone_number": "619-838-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F KING AUD A PROFESSIONAL AUDIOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-838-8929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "AU2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Earplugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soma Neuromonitoring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2018; 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.