Individual provider Active NPI

Beth L Ehrlich, AUD

  • Audiologist
  • Castro Valley, CA
National Provider Identifier
1669473195
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU433 Issued in CA
Practice address
20101 Lake Chabot Rd FL 3
Castro Valley, CA 94546-5305
Phone
(510) 886-3400
Fax
(510) 506-7729
NPI assigned
Aug 9, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HA1531 CA
Audiologist 231H00000X AU433 CA Primary

Addresses

Primary practice location

20101 Lake Chabot Rd FL 3
Castro Valley, CA 94546-5305

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 866-3400

Other practice location 1

20126 Stanton Ave
Suite 205
Castro Valley, CA 94546-5271
Phone (510) 537-4211

Other identifiers 1

IdentifierTypeStateIssuer
AU433OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
433CAMDMental Health Counselor
HA1531CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West Inc Audiologist-Hearing Aid Fitter PastSince Jan 8, 2019 Accepting new patients

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1669473195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-866-3400",
            "fax_number": "510-506-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 LAKE CHABOT RD FL 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-886-3400",
            "fax_number": "510-506-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20126 Stanton Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465271",
            "country_code": "US",
            "telephone_number": "510-537-4211",
            "fax_number": "510-537-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "BETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA1531",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "AU433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.