Individual provider Active NPI

Dimitra Loomos, AU.D., CCC-A, FAAA

  • Audiologist
  • San Ramon, CA
National Provider Identifier
1730395286
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU571 Issued in CA
Practice address
2301 Camino Ramon Ste 106
San Ramon, CA 94583-2000
Phone
(510) 282-7803
Fax
(925) 901-0199
NPI assigned
May 14, 2007
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU571 CA Primary
Assistive Technology Practitioner Audiologist 231HA2400X AU571 HA2110 CA
Audiologist-Hearing Aid Fitter 237600000X HA2110 CA

Addresses

Primary practice location

2301 Camino Ramon Ste 106
San Ramon, CA 94583-2000

Mailing address

2301 Camino Ramon Ste 106
San Ramon, CA 94583-2000
Phone (510) 282-7803

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU571CAMDAudiologist
AU571 HA2110CAMDAssistive Technology Practitioner Audiologist
HA2110CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Hearing Services Inc CurrentSince Aug 18, 2019 Accepting new patients

Locations

2301 Camino Ramon
Ste 106
San Ramon, CA 94583
Phone (925) 830-5094

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1730395286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 106",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832000",
            "telephone_number": "510-282-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 106",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832000",
            "telephone_number": "510-282-7803",
            "fax_number": "925-901-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMOS",
        "first_name": "DIMITRA",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU571",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU571 HA2110",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA2110",
            "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 Aug 13, 2019; 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.