Individual provider Active NPI

Jacqueline B. Adler, M.A.

  • Assistive Technology Practitioner Audiologist
  • Vista, CA
National Provider Identifier
1801097688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
AU420 Issued in CA
Practice address
2023 W Vista Way Ste J
Vista, CA 92083-6030
Phone
(760) 758-8770
Fax
(760) 726-0644
NPI assigned
May 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X AU420 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste J
Vista, CA 92083-6030

Mailing address

12698 Monterey Cypress Way
San Diego, CA 92130-2422
Phone (858) 775-8496

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU420CAMDAssistive Technology Practitioner Audiologist

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801097688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12698 MONTEREY CYPRESS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302422",
            "telephone_number": "858-775-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE J",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-758-8770",
            "fax_number": "760-726-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JACQUELINE",
        "middle_name": "B.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.