NPIMap

Organization Active NPI

Peter J. Marincovich

  • Hearing and Speech Clinic/Center
  • Mill Valley, CA
National Provider Identifier
1881949535
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
013040 Issued in CA
Legal business name
PETER J. MARINCOVICH
Practice address
591 Redwood Hwy Frontage Rd
Suite 1210
Mill Valley, CA 94941-6001
Phone
(415) 383-6633
Fax
(415) 383-6918
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Dr. Peter J Marincovich, PH.D., CCC-ANPI 1447327507
Title
Audiologist/Owner
Phone
(707) 523-4740

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
Hearing and Speech Clinic/Center 261QH0700X 013040 CA Primary

Addresses

Primary practice location

591 Redwood Hwy Frontage Rd
Suite 1210
Mill Valley, CA 94941-6001

Mailing address

1111 Sonoma Ave
316
Santa Rosa, CA 95405-4819
Phone (707) 523-4740

Other names 1

  • Audiology Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audiology Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

591 Redwood Hwy Frontage Rd
Ste 1210
Mill Valley, CA 94941
Phone (415) 383-6633

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1881949535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE",
            "address_2": "316",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054819",
            "telephone_number": "707-523-4740",
            "fax_number": "707-523-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY FRONTAGE RD",
            "address_2": "SUITE 1210",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-383-6633",
            "fax_number": "415-383-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. MARINCOVICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "MARINCOVICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "707-523-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "013040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.