Organization Active NPI

Daganzo Corporation

Doing business as Hearing Science of Stonestown

  • Audiologist-Hearing Aid Fitter
  • San Francisco, CA
National Provider Identifier
1730272634
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU 1874 Issued in CA
Legal business name
DAGANZO CORPORATION
Doing business as
Hearing Science of Stonestown
Practice address
595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909
Phone
(415) 759-8851
Fax
(415) 759-8873
NPI assigned
Oct 2, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Spencer BernattNPI 1457933046
Title
Manager
Phone
(415) 759-8851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU 1874 CA Primary

Addresses

Primary practice location

595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909

Mailing address

595 Buckingham Way
Suite 437
San Francisco, CA 94132-1909
Phone (415) 759-8851

Other identifiers 1

IdentifierTypeStateIssuer
AU0018740MedicaidCA

Other names 1

  • Hearing Science of Stonestown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000573 CA Part B Supplier - Clinic/Group Practice 9537113451 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

595 Buckingham Way
Ste 437
San Francisco, CA 94132
Phone (415) 759-8851

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1730272634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY",
            "address_2": "SUITE 437",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321909",
            "telephone_number": "415-759-8851",
            "fax_number": "415-759-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY",
            "address_2": "SUITE 437",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321909",
            "telephone_number": "415-759-8851",
            "fax_number": "415-759-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGANZO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BERNATT",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-759-8851"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 1874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0018740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Science of Stonestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.