Organization Active NPI

Rancho Bernardo Hearing Services, Inc.

  • Specialist
  • San Diego, CA
National Provider Identifier
1619909165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AU78 Issued in CA
Legal business name
RANCHO BERNARDO HEARING SERVICES, INC.
Practice address
16766 Bernardo Center Dr
Suite 206
San Diego, CA 92128-2545
Phone
(858) 485-0909
Fax
(858) 485-0930
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Judith K. Horning, AU.D.NPI 1962627943
Title
President/Ceo
Phone
(858) 485-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AU78 CA Primary

Addresses

Primary practice location

16766 Bernardo Center Dr
Suite 206
San Diego, CA 92128-2545

Mailing address

16766 Bernardo Center Dr
Suite 206
San Diego, CA 92128-2545
Phone (858) 485-0909

Other identifiers 2

IdentifierTypeStateIssuer
AU0000780MedicaidCA
ZZZ03194ZOtherCAAUDIOLOGIST - BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

16766 Bernardo Center Dr
Ste 206
San Diego, CA 92128
Phone (858) 381-0686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619909165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282545",
            "telephone_number": "858-485-0909",
            "fax_number": "858-485-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282545",
            "telephone_number": "858-485-0909",
            "fax_number": "858-485-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO BERNARDO HEARING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNING",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-485-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "AU78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0000780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST - BLUE SHIELD",
            "identifier": "ZZZ03194Z",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.