Active NPI
Blaise S Pfaffmann, AUD
- Audiologist
- San Diego, CA
National Provider Identifier
1285135749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3693
- Practice address
- 2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817 - Phone
- (858) 279-6772
- NPI assigned
- Feb 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 31008 | OR | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Assistive Technology Supplier Audiologist | 231HA2500X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | 3693 | CA | Primary |
Addresses
Primary practice location
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Mailing address
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Phone (858) 279-6772
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 |
|---|---|---|---|
| 31008 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Current | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients | |
| Griffin Center | Past | Accepting new patients | |
| Neurodynamics Inc | Audiologist | Past | Accepting new patients |
| Audioscope Audiology Group Apc | Audiologist | Past | Accepting new patients |
Locations
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
-
- Audiologist-Hearing Aid Fitter
- San Diego, CA
- NPI 1215003553
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Hearing and Speech Clinic/Center
- Beaverton, OR
- NPI 1598235608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1285135749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083817",
"telephone_number": "858-279-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083817",
"telephone_number": "858-279-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFFMANN",
"first_name": "BLAISE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "31008",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 25, 2023; 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.