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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3530 | CA | MD | Audiologist |
| 666 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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
- aabrisch387575@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65737547 | Medicaid | CO |
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.