Individual provider Active NPI

Jeffrey Tatum Danhauer, M.A.

  • Audiologist
  • Santa Barbara, CA
National Provider Identifier
1861412751
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1984 Issued in CA
Practice address
5360 Hollister Ave
Ste.1
Santa Barbara, CA 93111-2334
Phone
(805) 696-6811
Fax
(805) 696-6453
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1984 CA Primary

Addresses

Primary practice location

5360 Hollister Ave
Ste.1
Santa Barbara, CA 93111-2334

Mailing address

5360 Hollister Ave
Ste.1
Santa Barbara, CA 93111-2334
Phone (805) 696-6811

Other identifiers 2

IdentifierTypeStateIssuer
AU0001984MedicaidCA
AU0001984AMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000824 CA Practitioner - Qualified Audiologist 9436185402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Audiology IncGroup PAC ID 2062957376, 2 clinicians

Practice addresses (Care Compare)

5360 Hollister Ave
Suite 1
Santa Barbara, CA 93111-2334
Phone (805) 696-6811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU1984CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Audiology, Inc. Audiologist CurrentSince May 1, 2024 Accepting new patients
Hearing Consultants of California Audiologist Past Accepting new patients

Locations

3839 Constellation Rd
Ste D
Lompoc, CA 93436
Phone (805) 733-3541

5360 Hollister Ave
#1
Santa Barbara, CA 93111
Phone (805) 696-6811

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861412751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 HOLLISTER AVE",
            "address_2": "STE.1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112334",
            "telephone_number": "805-696-6811",
            "fax_number": "805-696-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 HOLLISTER AVE",
            "address_2": "STE.1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112334",
            "telephone_number": "805-696-6811",
            "fax_number": "805-696-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANHAUER",
        "first_name": "JEFFREY",
        "middle_name": "TATUM",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0001984",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0001984A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.