Walnut Creek Audiology Corp

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

WALNUT CREEK AUDIOLOGY CORP

Practice address

1900 Olympic Blvd Ste 202
Walnut Creek, CA 94596-5094

Phone

(925) 937-4455

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Timothy Johnson, AU.DNPI 1790455947

Title

Audiologist/ Owner/ President

Phone

(707) 494-4328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Timothy Johnson, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Walnut Creek, CA
  • NPI 1790455947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1376305086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OLYMPIC BLVD STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965094",
            "telephone_number": "925-937-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OLYMPIC BLVD STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965094",
            "telephone_number": "925-937-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK AUDIOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "AUDIOLOGIST/ OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "707-494-4328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Wallace Galtney IV
• Dorothy Wallder
• Jonathan Waller, MD/MPH
• Ashley Walls
• Mechelle Walls, BS
• Walnut Creek Community Healthcare, LLC (Rossmoor Post Acute)
• Walnut Creek DBT Psychology Clinic
• Walnut Creek Dentists Partnership
• Walnut Creek Elementary School District
• Walnut Creek Endoscopy Center LLC

• Audiologist-Hearing Aid Fitter in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.