Individual provider Active NPI

Bonnie Rettgers, AUD

  • Audiologist
  • El Cajon, CA
National Provider Identifier
1578622296
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU760 Issued in CA
Practice address
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020-2520
Phone
(818) 515-7805
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU760 CA Primary

Addresses

Primary practice location

450 Fletcher Pkwy Ste 112
El Cajon, CA 92020-2520

Mailing address

450 Fletcher Pkwy,
#112
El Cajon, CA 92020-5423
Phone (818) 515-7805

Other names 1

  • Dr. Bonnie Jean Rettgers Professional name

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
AU760CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1578622296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FLETCHER PKWY,",
            "address_2": "#112",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205423",
            "telephone_number": "818-515-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FLETCHER PKWY STE 112",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202520",
            "telephone_number": "818-515-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTGERS",
        "first_name": "BONNIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "RETTGERS",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.