Organization Active NPI

Legacy Audiology, Inc.

  • Audiologist
  • Santa Barbara, CA
National Provider Identifier
1427805142
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
LEGACY AUDIOLOGY, INC.
Practice address
5360 Hollister Ave Ste 1
Santa Barbara, CA 93111-2334
Phone
(805) 696-6811
Fax
(805) 696-6453
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Jeffrey Tatum Danhauer, MSNPI 1861412751
Title
Owner
Phone
(805) 683-5322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

5360 Hollister Ave Ste 1
Santa Barbara, CA 93111-2334

Mailing address

5360 Hollister Ave Ste 1
Santa Barbara, CA 93111-2334
Phone (805) 696-6811

Other practice location 1

3839 Constellation Rd
Lompoc, CA 93436-1466
Phone (805) 696-6811

Other names 1

  • Legacy Audiology, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711000533 CA Part B Supplier - Clinic/Group Practice 2062957376 Receives reassigned benefits from 2 practitioners
Practice locations: Lompoc, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

3839 Constellation Rd
Lompoc, CA 93436
Phone (805) 733-3541

5360 Hollister Ave
#1
Santa Barbara, CA 93111
Phone (805) 696-6811

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1427805142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 HOLLISTER AVE STE 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112334",
            "telephone_number": "805-696-6811",
            "fax_number": "805-696-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 HOLLISTER AVE STE 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112334",
            "telephone_number": "805-696-6811",
            "fax_number": "805-696-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3839 Constellation Rd",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934361466",
            "country_code": "US",
            "telephone_number": "805-696-6811",
            "fax_number": "805-696-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "DANHAUER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TATUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-683-5322",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Audiology, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.