Individual provider Active NPI

John Theodore Rundles, AU.D.

  • Audiologist
  • Oceanside, CA
National Provider Identifier
1548214281
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1257 Issued in CA
Practice address
4974 Lamia Way
Oceanside, CA 92056-7430
Phone
(760) 859-6183
NPI assigned
May 19, 2006
Last updated
Jan 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AUD1257MedicaidCA

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
AU1257CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Professional Hearing Center,Inc Audiologist Past Accepting new patients
DMC Medical Clinic LTD PastSince Mar 11, 2025 Accepting new patients
Doyne Medical Clinic Inc. PastSince Jan 14, 2017 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.

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.

Verify at the official NPI Registry.