Active NPI
Pine River Inc.
Doing business as Hearing Services
- Audiologist
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- PINE RIVER INC.
- Doing business as
- Hearing Services
- Practice address
- 1700 Pennsylvania Ave Ste B
Fairfield, CA 94533-3510 - Phone
- (707) 426-4327
- Fax
- (707) 426-5190
- NPI assigned
- Apr 17, 2007
- Last updated
- Feb 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise Martin-Sahim, AUD
- Title
- Owner
- Phone
- (707) 426-4327
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1700 Pennsylvania Ave Ste B
Fairfield, CA 94533-3510
Mailing address
1700 Pennsylvania Ave Ste B
Fairfield, CA 94533-3510
Phone (707) 426-4327
Other practice location 1
673 Merchant St Ste B
Vacaville, CA 95688-6952
Phone (707) 446-0742
Other practice location 2
480 Redwood St Ste 14
Vallejo, CA 94590-2958
Phone (707) 642-8862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0004410 | Medicaid | CA |
Other names 1
- HEARING SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Ellen Anderson Hearing
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist
- Fairfield, CA
- NPI 1598126161
-
- Audiologist-Hearing Aid Fitter
- Vacaville, CA
- NPI 1013156363
Locations
1620 Pennsylvania Ave
Ste D
Fairfield, CA 94533
Phone (707) 421-2229
1700 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 426-4327
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Fairfield, CA
- NPI 1023182425
-
- Audiologist
- Fairfield, CA
- NPI 1528696465
-
- Audiologist-Hearing Aid Fitter
- Vacaville, CA
- NPI 1356731434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1639394117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 PENNSYLVANIA AVE STE B",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333510",
"telephone_number": "707-426-4327",
"fax_number": "707-426-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PENNSYLVANIA AVE STE B",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333510",
"telephone_number": "707-426-4327",
"fax_number": "707-426-5190"
}
],
"practiceLocations": [
{
"address_1": "673 Merchant St Ste B",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956886952",
"country_code": "US",
"telephone_number": "707-446-0742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 Redwood St Ste 14",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945902958",
"country_code": "US",
"telephone_number": "707-642-8862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PINE RIVER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "MARTIN-SAHIM",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-426-4327",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0004410",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEARING SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEARING SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.