Individual provider Active NPI

Christine G Diles

  • Audiologist-Hearing Aid Fitter
  • Santa Rosa, CA
National Provider Identifier
1497859425
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU680 Issued in CA
Practice address
1421 Guerneville Rd
Ste 224
Santa Rosa, CA 95403-7220
Phone
(707) 544-4433
Fax
(707) 544-1431
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU680 CA Primary

Addresses

Primary practice location

1421 Guerneville Rd
Ste 224
Santa Rosa, CA 95403-7220

Mailing address

1421 Guerneville Rd
Ste 224
Santa Rosa, CA 95403-7220
Phone (707) 544-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU680CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Hearing Solutions PastSince May 27, 2016 Accepting new patients
William Diles, Inc. PastSince Apr 5, 1985 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1497859425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "address_2": "STE 224",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-544-4433",
            "fax_number": "707-544-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "address_2": "STE 224",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-544-4433",
            "fax_number": "707-544-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILES",
        "first_name": "CHRISTINE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.