Audiology Services of Northern California Inc
Organization Active NPI Audiologist · Turlock, CA
NPI 1578552154 · NPPES record last updated Mar 1, 2018
Key facts
- NPI
- 1578552154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- AU1782 (CA)
- Legal business name
- AUDIOLOGY SERVICES OF NORTHERN CALIFORNIA INC
- Practice address
- 2330 Colorado Ave
Turlock, CA 95382-2013 - Phone
- (209) 634-9327
- Fax
- (209) 634-3037
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen Blakemore, M.S.
- Title
- Audiologist / Owner
- Phone
- (209) 634-9327
National Provider Directory
Locations
2111 Geer Rd
Ste 205
Turlock, CA 95382
Phone (209) 634-9327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | AU1782 | CA | Yes |
| Hearing Instrument Specialist |
237700000X | HA3831 | CA |
Addresses
Primary practice location
2330 Colorado Ave
Turlock, CA 95382-2013
Mailing address
2330 Colorado Ave
Turlock, CA 95382-2013
Phone (209) 634-9327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0017820 | Medicaid | CA |
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.