Active NPI
Dimitra Loomos, AU.D., CCC-A, FAAA
- Audiologist
- San Ramon, CA
National Provider Identifier
1730395286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU571
- 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, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AU571 | CA | MD | Audiologist |
| AU571 HA2110 | CA | MD | Assistive Technology Practitioner Audiologist |
| HA2110 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diablo Hearing Services Inc | Current | 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.
-
- 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": "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.