Active NPI
John Theodore Rundles, AU.D.
- Audiologist
- Oceanside, CA
National Provider Identifier
1548214281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1257
- Practice address
- 4974 Lamia Way
Oceanside, CA 92056-7430 - Phone
- (760) 859-6183
- NPI assigned
- May 19, 2006
- Last updated
- Jan 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1257 | CA | Primary |
| Hearing Instrument Specialist | 237700000X | AU1257 | CA |
Addresses
Primary practice location
4974 Lamia Way
Oceanside, CA 92056-7430
Mailing address
4974 Lamia Way
Oceanside, CA 92056-7430
Phone (760) 859-6183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD1257 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU1257 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Professional Hearing Center,Inc | Audiologist | Past | Accepting new patients |
| DMC Medical Clinic LTD | Past | Accepting new patients | |
| Doyne Medical Clinic Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
- Glendale, CA
- NPI 1124170303
Audiologist
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1699374256
-
dba Doyne Medical Clinic
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1710997291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356998400000",
"number": "1548214281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 LAMIA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920567430",
"telephone_number": "760-859-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 LAMIA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920567430",
"telephone_number": "760-859-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDLES",
"first_name": "JOHN",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1257",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "AU1257",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AUD1257",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.