Individual provider Active NPI

Jenifer V Daganzo, AU.D.

  • Audiologist-Hearing Aid Fitter
  • San Francisco, CA
National Provider Identifier
1629268917
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU 1874 Issued in CA
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

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050304000188 CA Practitioner - Qualified Audiologist 2163476086 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
AU 1874CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Daganzo Corporation Audiologist-Hearing Aid Fitter CurrentSince Mar 17, 1971 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.

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.

Verify at the official NPI Registry.