Individual provider Active NPI

Kristin R. Hallstrom, AU.D.

  • Audiologist
  • San Francisco, CA
National Provider Identifier
1679759161
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2376 Issued in CA
Practice address
155 5TH St
University of the Pacific
San Francisco, CA 94103-2919
Phone
(415) 929-6405
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2376 CA Primary

Addresses

Primary practice location

155 5TH St
University of the Pacific
San Francisco, CA 94103-2919

Mailing address

155 5TH St
University of the Pacific
San Francisco, CA 94103-2919
Phone (415) 929-6405

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091226000001 CA Practitioner - Qualified Audiologist 8729128640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Bonney Aud IncGroup PAC ID 3870622061, 7 clinicians

Practice addresses (Care Compare)

101 Margaret LN
Suite C
Grass Valley, CA 95945-4207
Phone (530) 477-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2376CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Bonney Aud, Inc CurrentSince Aug 24, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 6, 2016 Accepting new patients
University of the Pacific Audiologist CurrentSince Jun 30, 2015 Accepting new patients
University of the Pacific CurrentSince Jun 30, 2015 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 6, 2016 Accepting new patients
University of the Pacific Current Accepting new patients
Audiology Specialty Clinics of Ca, Inc PastSince Mar 5, 2023 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4944 Windplay Dr
Ste 120
El Dorado Hills, CA 95762
Phone (530) 461-0080

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

101 Margaret Ln
Ste C
Grass Valley, CA 95945
Phone (530) 272-2244

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1101 W Tokay St
Ste 4
Lodi, CA 95240
Phone (209) 368-9222

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

6000 Fairway Dr
Ste 15
Rocklin, CA 95677
Phone (916) 315-8114

601 University Ave
Ste 105
Sacramento, CA 95825
Phone (916) 927-9640

7300 Wyndham Dr
Sacramento, CA 95823
Phone (916) 525-6100

155 5th St
Ste 250
San Francisco, CA 94103
Phone (415) 780-2001

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

155 5th St
San Francisco, CA 94103
Phone (415) 929-6400

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

3601 Pacific Ave
Univ of the Pacific, CA 95211
Phone (209) 946-2132

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 8

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1679759161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "UNIVERSITY OF THE PACIFIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "UNIVERSITY OF THE PACIFIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "KRISTIN",
        "middle_name": "R.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 Wyndham Dr",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958234913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.

Verify at the official NPI Registry.