Organization Active NPI

Pine River Inc.

Doing business as Hearing Services

  • Audiologist
  • Fairfield, CA
National Provider Identifier
1639394117
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Ms. Denise Martin-Sahim, AUDNPI 1023182425
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AU0004410MedicaidCA

Other names 1

  • HEARING SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190131002343 CA Part B Supplier - Clinic/Group Practice 0648542472 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfield, CA; Vacaville, CA; Vallejo, CA

National Provider Directory

National Provider Directory
Tax ID family
Ellen Anderson Hearing4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.