Sandra Mintz, M.S. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2601 Issued in CA

Practice address

5100 Adolfo Rd
Camarillo, CA 93012-6792

Phone

(805) 437-1380

Fax

(805) 389-4297

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1407238710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ADOLFO RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126792",
            "telephone_number": "805-437-1380",
            "fax_number": "805-389-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 ADOLFO RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126792",
            "telephone_number": "805-437-1380",
            "fax_number": "805-389-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "SANDRA",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2601",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU2601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Francis Millhouse, M.D.
• Deena Millikin
• Grace Victoria Mills
• Sanford Jack Milner, D.P.M.
• Jill Serene Mines, MD
• Jacob Rod Miramontez
• Alberto Miranda
• Andrea M. Miranda
• Cristina Miranda
• Jennah Renay Miranda, B.S.

• Audiologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.