Amanda Abrisch, AUD

Individual provider Active NPI Audiologist · La Jolla, CA

NPI 1780966903 · NPPES record last updated Sep 11, 2020

Key facts

NPI
1780966903
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
666 (CO)
Practice address
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone
(858) 554-8998
Fax
(858) 554-6971
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
AU3530CAMDAudiologist
666COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

Interoperability endpoints

  • Direct secure messaging: aabrisch387575@scrippshlth.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3530 CA
Audiologist-Hearing Aid Fitter 237600000X 666 CO
Audiologist-Hearing Aid Fitter 237600000X AU3530 CA
Audiologist 231H00000X 666 CO Yes

Addresses

Primary practice location

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-8998

Other practice location 1

13123 E 16th Ave
B030
Aurora, CO 80045-7106
Phone (720) 777-6800

Other identifiers

IdentifierTypeStateIssuer
65737547MedicaidCO

Other providers in La Jolla, CA

All providers in La Jolla, CA · Audiologist in California

Sources for this page

Verify at the official NPI Registry.