Active NPI
Soumya Venkitakrishnan, AUD, PHD
- Audiologist
- Concord, CA
National Provider Identifier
1699587915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3734
- Practice address
- 1465 Civic CT
Concord, CA 94520-7914 - Phone
- (844) 319-1150
- NPI assigned
- Jan 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 9061 | CA | |
| Audiologist | 231H00000X | 3734 | CA | Primary |
Addresses
Primary practice location
1465 Civic CT
Concord, CA 94520-7914
Mailing address
408 Timberline CT
Pleasant Hill, CA 94523-3191
Phone (319) 400-3878
Other practice location 1
1497 Alcatraz Ave
Berkeley, CA 94702-2710
Phone (844) 319-1150
Other practice location 2
510 17th St
Oakland, CA 94612-1553
Phone (510) 830-3900
Other practice location 3
1850 Fairway Dr
San Leandro, CA 94577-5629
Phone (844) 319-1150
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9061 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1699587915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 TIMBERLINE CT",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233191",
"telephone_number": "319-400-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 CIVIC CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207914",
"telephone_number": "844-319-1150"
}
],
"practiceLocations": [
{
"address_1": "1497 Alcatraz Ave",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947022710",
"country_code": "US",
"telephone_number": "844-319-1150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 17th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946121553",
"country_code": "US",
"telephone_number": "510-830-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 Fairway Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945775629",
"country_code": "US",
"telephone_number": "844-319-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENKITAKRISHNAN",
"first_name": "SOUMYA",
"name_prefix": "Dr.",
"credential": "AUD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "9061",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.