Erik Martin Breitling, AU.D.
Individual provider Active NPI Audiologist · Lafayette, CA
NPI 1376972513 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1376972513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AU2832 (CA)
- Practice address
- 3744 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3694 - Phone
- (925) 262-4242
- Fax
- (925) 262-4255
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3744 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3661
Phone (925) 262-4242
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150430001126 | CA | Practitioner - Qualified Audiologist | 1254650930 | Practice locations: Lafayette, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2832 | CA | MD | Occupational Therapist |
| AU2832 | CA | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breitling Audiology Group PC | Audiologist | Current |
Accepting new patients |
Locations
3744 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 262-4242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2832 | CA | Yes |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AU2832 | CA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AU2832 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AU2832 | CA |
Addresses
Primary practice location
3744 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3694
Mailing address
3744 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3694
Phone (925) 262-4242
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.