Individual provider Active NPI

Cindy Ross

  • Audiologist
  • Pinole, CA
National Provider Identifier
1255674859
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2870 Issued in CA
Practice address
1700 San Pablo Ave
Ste F
Pinole, CA 94564-2081
Phone
(510) 724-1095
Fax
(510) 724-1178
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2870 CA Primary

Addresses

Primary practice location

1700 San Pablo Ave
Ste F
Pinole, CA 94564-2081

Mailing address

1700 San Pablo Ave
Ste F
Pinole, CA 94564-2081
Phone (510) 724-1095

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2870CAMDOccupational Therapy Assistant
AU2870CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1255674859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "STE F",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-1095",
            "fax_number": "510-724-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "STE F",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-1095",
            "fax_number": "510-724-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.