Active NPI
Tinnitus and Audiology Clinic of Silicon Valley
- Audiologist
- Los Gatos, CA
National Provider Identifier
1245789239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2085
- Legal business name
- TINNITUS AND AUDIOLOGY CLINIC OF SILICON VALLEY
- Practice address
- 340 Dardanelli LN
Ste. 22C
Los Gatos, CA 95032-1418 - Phone
- (408) 540-7180
- Fax
- (408) 599-3013
- NPI assigned
- Oct 1, 2016
- 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
- Dr. Marni Lisa Novick, AU.D.
- Title
- Ceo/President
- Phone
- (408) 540-7180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 2085 | CA | Primary |
Addresses
Primary practice location
340 Dardanelli LN
Ste. 22C
Los Gatos, CA 95032-1418
Mailing address
340 Dardanelli LN
Ste. 22C
Los Gatos, CA 95032-1418
Phone (408) 540-7180
National Provider Directory
National Provider DirectoryLocations
340 Dardanelli Ln
Ste 22C
Los Gatos, CA 95032
Phone (408) 540-7180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475280000000",
"number": "1245789239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 DARDANELLI LN",
"address_2": "STE. 22C",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321418",
"telephone_number": "408-540-7180",
"fax_number": "408-599-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 DARDANELLI LN",
"address_2": "STE. 22C",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321418",
"telephone_number": "408-540-7180",
"fax_number": "408-599-3013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINNITUS AND AUDIOLOGY CLINIC OF SILICON VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-01",
"last_updated": "2016-10-01",
"status": "A",
"authorized_official_last_name": "NOVICK",
"authorized_official_first_name": "MARNI",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "408-540-7180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "AU 2085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.