Active NPI
Gabriel Sudaj, AUD
- Electroneurodiagnostic Specialist/Technologist
- San Diego, CA
National Provider Identifier
1609440676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 4866
- Practice address
- 2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817 - Phone
- (858) 279-6772
- NPI assigned
- May 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 4866 | CA | Primary |
Addresses
Primary practice location
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Mailing address
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Phone (858) 279-6772
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audioscope Audiology Group Apc | Past | Accepting new patients | |
| Neurodynamics Inc | Clinical Neurophysiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- San Diego, CA
- NPI 1215003553
-
- Clinical Neurophysiology Physician
- San Diego, CA
- NPI 1407932312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1609440676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083817",
"telephone_number": "858-279-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083817",
"telephone_number": "858-279-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDAJ",
"first_name": "GABRIEL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CA",
"license": "4866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.