Roseville Diagnostic Hearing Center, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2197 Issued in CA

Legal business name

ROSEVILLE DIAGNOSTIC HEARING CENTER, LLC

Practice address

1411 Secret Ravine Pkwy
Suite 120
Roseville, CA 95661-6041

Phone

(916) 203-8145

NPI assigned

Mar 5, 2017

Last updated

Mar 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roselynn Gamboa Young, AU.D

Title

Audiologist/Manager

Phone

(916) 203-8145

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488672000000",
    "number": "1710427158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PKWY",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PKWY",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616041",
            "telephone_number": "916-203-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE DIAGNOSTIC HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROSELYNN",
        "authorized_official_middle_name": "GAMBOA",
        "authorized_official_title_or_position": "AUDIOLOGIST/MANAGER",
        "authorized_official_telephone_number": "916-203-8145",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Roseville Diagnostic Hearing Center, Inc.
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• Roseville Foot and Ankle PC (Roseville Foot and Ankle)
• Roseville Health & Wellness Center
• Roseville Heritage Partners, LP

• Audiologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.