Active NPI
Jenifer V Daganzo, AU.D.
- Audiologist-Hearing Aid Fitter
- San Francisco, CA
National Provider Identifier
1629268917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU 1874
- Practice address
- 595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909 - Phone
- (415) 759-8851
- Fax
- (415) 759-8873
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU 1874 | CA | Primary |
Addresses
Primary practice location
595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909
Mailing address
595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909
Phone (415) 759-8851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
595 Buckingham Way
San Francisco, CA 94132-1912
Phone (415) 759-8851
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 1874 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daganzo Corporation | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
595 Buckingham Way
Ste 437
San Francisco, CA 94132
Phone (415) 759-8851
Organizations & group practices 1
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 Francisco, CA
- NPI 1730272634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1629268917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 BUCKINGHAM WAY",
"address_2": "SUITE 437",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321909",
"telephone_number": "415-759-8851",
"fax_number": "415-759-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 BUCKINGHAM WAY",
"address_2": "SUITE 437",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321909",
"telephone_number": "415-759-8851",
"fax_number": "415-759-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGANZO",
"first_name": "JENIFER",
"middle_name": "V",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU 1874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.