Munirah Awad, AUD
Individual provider Active NPI Audiologist · Stockton, CA
NPI 1558097584 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1558097584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 3601 Pacific Ave
Stockton, CA 95211 - Phone
- (209) 946-7378
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of the Pacific
Practice addresses (Care Compare)
757 Brookside Rd
Stockton, CA 95211-0001
Phone (209) 946-7378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221115003054 | CA | Practitioner - Qualified Audiologist | 1557739935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Pacific | Current |
Accepting new patients | |
| University of the Pacific | Current |
Accepting new patients |
Locations
3601 Pacific Ave
Univ of the Pacific, CA 95211
Phone (209) 946-2132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
3601 Pacific Ave
Stockton, CA 95211
Mailing address
3601 Pacific Ave
Stockton, CA 95211
Phone (209) 946-7378
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.