Active NPI
Nasim E Seisan, AU.D
- Audiologist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 14180507
- Practice address
- 3200 Kearney St
Fremont, CA 94538-2299 - Phone
- (510) 490-1222
- NPI assigned
- Jan 27, 2016
- 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 | 14180507 | CA | Primary |
Addresses
Primary practice location
3200 Kearney St
Fremont, CA 94538-2299
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 490-1222
Other practice location 1
11201 Benton St
Loma Linda, CA 92357-1000
Phone (909) 828-7084
Other practice location 2
4050 Dublin Blvd
Dublin, CA 94568-3112
Phone (925) 875-6400
Other practice location 3
20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU3103 | Other | CA | STATE MEDICAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14180507 | CA | MD | Audiologist |
| 3103 | CA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSG Better Hearing Services, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CSG Better Hearing Center
- Audiologist
- Walnut Creek, CA
- NPI 1548383318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1316304876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "510-490-1222",
"fax_number": "510-498-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 KEARNEY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382299",
"telephone_number": "510-490-1222"
}
],
"practiceLocations": [
{
"address_1": "11201 Benton St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923571000",
"country_code": "US",
"telephone_number": "909-828-7084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Dublin Blvd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "CA",
"postal_code": "945683112",
"country_code": "US",
"telephone_number": "925-875-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20101 Lake Chabot Rd",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945465305",
"country_code": "US",
"telephone_number": "510-886-3400",
"fax_number": "510-247-6491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEISAN",
"first_name": "NASIM",
"middle_name": "E",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "14180507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "AU3103",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
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- Cassandra Marie Sells, OTR/L
- Akash Selvam, BACHELORS OF SCIENCE
- Seneca Family of Agencies (Harvey Green)
- Seneca Family of Agencies (STEP Irvington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.