Active NPI
Michal Joseph, AUD
- Audiologist
- Greenbrae, CA
National Provider Identifier
1669625729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1976
- Practice address
- 1000 S Eliseo Dr
Unit 103
Greenbrae, CA 94904-2133 - Phone
- (415) 461-9770
- Fax
- (415) 461-6744
- NPI assigned
- Nov 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1976 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HA4052 | CA |
Addresses
Primary practice location
1000 S Eliseo Dr
Unit 103
Greenbrae, CA 94904-2133
Mailing address
22 Truman Dr
Novato, CA 94947-4460
Phone (415) 898-9361
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU1976 | CA | MD | Audiologist |
| HA4052 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucile Salter Packard Children'S Hospital at Stanford | Past | 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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1669625729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 TRUMAN DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474460",
"telephone_number": "415-898-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S ELISEO DR",
"address_2": "UNIT 103",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042133",
"telephone_number": "415-461-9770",
"fax_number": "415-461-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "MICHAL",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-02",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1976",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA4052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.