Individual provider Active NPI

David K. Woodruff, AU.D

  • Audiologist-Hearing Aid Fitter
  • Rancho Santa Fe, CA
National Provider Identifier
1851501977
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1111 Issued in CA
Practice address
6037 La Granada
Suite D
Rancho Santa Fe, CA 92067-0524
Phone
(858) 759-8922
Fax
(858) 759-8022
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU1111, HA2516 CA
Audiologist-Hearing Aid Fitter 237600000X AU1111 CA Primary

Addresses

Primary practice location

6037 La Granada
Suite D
Rancho Santa Fe, CA 92067-0524

Mailing address

PO Box 524
Rancho Santa Fe, CA 92067-0524
Phone (858) 759-8922

Other identifiers 2

IdentifierTypeStateIssuer
AU001111MedicaidCA
AU0011110MedicaidCA

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

LicenseStateTypeSpecialty
AU1111CAMDAudiologist-Hearing Aid Fitter
AU1111, HA2516CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1851501977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670524",
            "telephone_number": "858-759-8922",
            "fax_number": "858-759-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA",
            "address_2": "SUITE D",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920670524",
            "telephone_number": "858-759-8922",
            "fax_number": "858-759-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "DAVID",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1111, HA2516",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU001111",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0011110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.