Active NPI
Kristin R. Hallstrom, AU.D.
- Audiologist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU2376 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Bonney Aud, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| University of the Pacific | Audiologist | Current | Accepting new patients |
| University of the Pacific | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| University of the Pacific | Current | Accepting new patients | |
| Audiology Specialty Clinics of Ca, Inc | Past | 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.
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- Audiologist
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- NPI 1316344104
-
- Oral and Maxillofacial Surgery (Dentist)
- San Francisco, CA
- NPI 1508294927
-
- Audiologist-Hearing Aid Fitter
- Rocklin, CA
- NPI 1285333153
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.