Organization Active NPI

Central Coast Audiology Incorporated

Doing business as Oregon Audiology of Portland

  • Audiologist-Hearing Aid Fitter
  • Monterey, CA
National Provider Identifier
1396892568
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
HA3460 Issued in CA
Legal business name
CENTRAL COAST AUDIOLOGY INCORPORATED
Doing business as
Oregon Audiology of Portland
Practice address
917 Pacific St
Monterey, CA 93940-2912
Phone
(831) 643-1600
Fax
(831) 643-1700
NPI assigned
Jan 3, 2007
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Robert Alexander Tybor
Title
Ceo
Phone
(831) 449-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1595 CA
Audiologist-Hearing Aid Fitter 237600000X HA3460 CA Primary

Addresses

Primary practice location

917 Pacific St
Monterey, CA 93940-2912

Mailing address

307 Main St Ste 240
Salinas, CA 93901-2705
Phone (831) 449-1600

Other practice location 1

307 Main St Ste 240
Salinas, CA 93901-2705
Phone (831) 449-1600

Other identifiers 2

IdentifierTypeStateIssuer
HA3460OtherCAHEARING AIDS
AU1595OtherCAAUDIOLOGY

Other names 1

  • Oregon Audiology of Portland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090803000727 CA Part B Supplier - Clinic/Group Practice 0446303879 Receives reassigned benefits from 4 practitioners
Practice locations: Monterey, CA; Salinas, CA

National Provider Directory

National Provider Directory

Locations

160 Harden Pkwy
Ste 102
Salinas, CA 93906
Phone (831) 443-3633

307 Main St
Ste 240
Salinas, CA 93901
Phone (831) 449-1600

4000 SE International Way
Milwaukie, OR 97222
Phone (503) 246-1769

4000 SE International Way
Ste F103
Portland, OR 97222
Phone (503) 246-1769

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1396892568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST STE 240",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012705",
            "telephone_number": "831-449-1600",
            "fax_number": "831-449-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402912",
            "telephone_number": "831-643-1600",
            "fax_number": "831-643-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Main St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012705",
            "country_code": "US",
            "telephone_number": "831-449-1600",
            "fax_number": "831-449-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL COAST AUDIOLOGY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-02",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "TYBOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-449-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1595",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA3460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AIDS",
            "identifier": "HA3460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY",
            "identifier": "AU1595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Audiology of Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.