Active NPI
Jovina Havard Strzelecki, AU.D.
- Audiologist
- Walnut Creek, CA
National Provider Identifier
1295088987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2863
- Practice address
- 1776 Ygnacio Valley Rd
Ste. 110
Walnut Creek, CA 94598-3190 - Phone
- (925) 933-8462
- Fax
- (925) 933-4460
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2863 | CA | Primary |
Addresses
Primary practice location
1776 Ygnacio Valley Rd
Ste. 110
Walnut Creek, CA 94598-3190
Mailing address
1776 Ygnacio Valley Rd
Ste. 110
Walnut Creek, CA 94598-3190
Phone (928) 933-8462
Other names 1
- Jovina Faye Havard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121128000128 | CA | Practitioner - Qualified Audiologist | 0244482131 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Fitzgibbons and Associates | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Hearing Instrument Specialist
- Walnut Creek, CA
- NPI 1902020894
Audiologist
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1295088987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY RD",
"address_2": "STE. 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983190",
"telephone_number": "928-933-8462",
"fax_number": "925-933-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY RD",
"address_2": "STE. 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983190",
"telephone_number": "925-933-8462",
"fax_number": "925-933-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRZELECKI",
"first_name": "JOVINA",
"middle_name": "HAVARD",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOVINA",
"last_name": "HAVARD",
"middle_name": "FAYE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.