Organization Active NPI

Tinnitus and Audiology Clinic of Silicon Valley

  • Audiologist
  • Los Gatos, CA
National Provider Identifier
1245789239
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 2085 Issued in CA
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

Updated by the provider on Oct 1, 2016

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.