Active NPI
Christine Shannon Mahon, M.A.
- Audiologist
- San Ramon, CA
National Provider Identifier
1699812172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1073
- Practice address
- 2301 Camino Ramon
Ste #106
San Ramon, CA 94583-4440 - Phone
- (925) 901-0122
- Fax
- (925) 901-0199
- NPI assigned
- Jan 31, 2007
- 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 | AU1073 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HA2370 | CA |
Addresses
Primary practice location
2301 Camino Ramon
Ste #106
San Ramon, CA 94583-4440
Mailing address
2301 Camino Ramon
Ste #106
San Ramon, CA 94583-4440
Phone (925) 901-0122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2301 Camino Ramon
Suite 106
San Ramon, CA 94583-2000
Phone (925) 901-0122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1073 | CA | MD | Audiologist |
| HA2370 | CA | MD | Audiologist-Hearing Aid Fitter |
| 1073 | CA | MD | Advanced Practice Midwife |
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.
-
- Hearing Aid Equipment
- San Ramon, CA
- NPI 1962889816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1699812172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON",
"address_2": "STE #106",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834440",
"telephone_number": "925-901-0122",
"fax_number": "925-901-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON",
"address_2": "STE #106",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834440",
"telephone_number": "925-901-0122",
"fax_number": "925-901-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "CHRISTINE",
"middle_name": "SHANNON",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1073",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA2370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.