Active NPI
Marissa Mae Gilger, AUD
- Audiologist-Hearing Aid Fitter
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU3451
- Practice address
- 1761 Broadway St Ste 200
Vallejo, CA 94589-2227 - Phone
- (707) 645-2500
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
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
- Grass Valley, CA
- NPI 1710201710
-
- Audiologist-Hearing Aid Fitter
- Rocklin, CA
- NPI 1285333153
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kimberly Bonney Aud Inc
Practice addresses (Care Compare)
101 Margaret LN
Suite C
Grass Valley, CA 95945-4207
Phone (530) 477-8114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110002318 | CA | Practitioner - Qualified Audiologist | 6507276169 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3451 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Bonney Aud, Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Audiology Specialty Clinics of Ca, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
4944 Windplay Dr
Ste 120
El Dorado Hills, CA 95762
Phone (530) 461-0080
457 Sutton Way
Grass Valley, CA 95945
Phone (530) 264-8838
101 Margaret Ln
Ste C
Grass Valley, CA 95945
Phone (530) 272-2244
1101 W Tokay St
Ste 4
Lodi, CA 95240
Phone (209) 368-9222
6000 Fairway Dr
Ste 15
Rocklin, CA 95677
Phone (916) 315-8114
601 University Ave
Ste 105
Sacramento, CA 95825
Phone (916) 927-9640
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU3451 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1761 Broadway St Ste 200
Vallejo, CA 94589-2227
Mailing address
457 Sutton Way
Grass Valley, CA 95945-4102
Phone (530) 477-8114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2020.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1629625439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 SUTTON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454102",
"telephone_number": "530-477-8114",
"fax_number": "530-477-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BROADWAY ST STE 200",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892227",
"telephone_number": "707-645-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILGER",
"first_name": "MARISSA",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU3451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.