Sara Mattson Madison Audiology, Apc

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

SARA MATTSON MADISON AUDIOLOGY, APC

Practice address

6037 La Granada
Suite D
Rancho Santa Fe, CA 92067

Phone

(858) 759-8922

NPI assigned

Dec 10, 2018

Organization subpart

No

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

Authorized official

Name

Sara Louise Mattson, AUDNPI 1770776395

Title

President

Phone

(858) 759-8922

Specialties & licenses 1

Addresses

Other names 2

• Rancho Santa Fe Audiology Doing business as
• San Diego Hearing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Louise Mattson, AU.D., CCC-A

  • Audiologist
  • Rancho Santa Fe, CA
  • NPI 1770776395
  Medicare reassignment NPD Authorized official
• John Paul Molenaar, MA, F-AAA

  • Audiologist-Hearing Aid Fitter
  • San Diego, CA
  • NPI 1174525299
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1861963381",
    "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": "92067",
            "telephone_number": "858-759-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4282 Genesee Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921174998",
            "country_code": "US",
            "telephone_number": "858-279-3277",
            "fax_number": "858-279-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARA MATTSON MADISON AUDIOLOGY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-759-8922",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Santa Fe Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tharaknath Rao, M.D.
• RSF Pharmacy Inc
• Sage Care Personal in Home Services Inc
• Sage in the Ranch Home Health Agency Inc
• David Alexander Samuels, M.D.
• Kylie Seaton, RN, BSN
• Pauline Serafin
• Mary Lynn Sherwood
• Robert Shillman, PH.D.
• Joao Siffert, M.D.

• Audiologist in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.