Organization Active NPI

Silicon Valley Hearing Clinic, Inc.

Doing business as Silicon Valley Hearing, Inc.

  • Audiologist-Hearing Aid Fitter
  • Los Gatos, CA
National Provider Identifier
1801232657
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2085 Issued in CA
Legal business name
SILICON VALLEY HEARING CLINIC, INC.
Doing business as
Silicon Valley Hearing, Inc.
Practice address
340 Dardanelli LN
Suite 22
Los Gatos, CA 95032-1418
Phone
(408) 540-7128
Fax
(408) 599-3013
NPI assigned
May 21, 2013
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Marni L Novick, AU.D.NPI 1336176676
Title
Ceo/President
Phone
(408) 540-7128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2085 CA Primary

Addresses

Primary practice location

340 Dardanelli LN
Suite 22
Los Gatos, CA 95032-1418

Mailing address

340 Dardanelli LN
Suite 22
Los Gatos, CA 95032-1418
Phone (408) 540-7128

Other identifiers 1

IdentifierTypeStateIssuer
CA119895OtherMEDICARE PTAN

Other names 1

  • Silicon Valley Hearing, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140529001107 CA Part B Supplier - Clinic/Group Practice 7012130693 Receives reassigned benefits from 3 practitioners
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

340 Dardanelli Ln
Ste 22
Los Gatos, CA 95032
Phone (408) 540-7128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1801232657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN",
            "address_2": "SUITE 22",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-540-7128",
            "fax_number": "408-599-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN",
            "address_2": "SUITE 22",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-540-7128",
            "fax_number": "408-599-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY HEARING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "MARNI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "408-540-7128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA119895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silicon Valley Hearing, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.