Roseville Diagnostic Hearing Center, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2197 Issued in CA

Legal business name

ROSEVILLE DIAGNOSTIC HEARING CENTER, INC.

Practice address

1411 Secret Ravine Pkwy Ste 120
Roseville, CA 95661-6042

Phone

(916) 780-4200

Fax

(916) 780-4201

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Roselynn Gamboa Young, AU.DNPI 1154421147

Title

Ceo

Phone

(916) 780-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Roselynn G Young, AU.D

  • Audiologist
  • Roseville, CA
  • NPI 1154421147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912429259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PKWY STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616042",
            "telephone_number": "916-780-4200",
            "fax_number": "916-780-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PKWY STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616042",
            "telephone_number": "916-780-4200",
            "fax_number": "916-780-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE DIAGNOSTIC HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROSELYNN",
        "authorized_official_middle_name": "GAMBOA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-780-4200",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseville Cardiology Medical Associates, Inc.
• Roseville Care Center, Inc.
• Roseville Center for Interventional Psychiatry, Inc
• Roseville City Elementary
• Roseville Dermatology Inc.
• Roseville Diagnostic Hearing Center, LLC
• Roseville Endoscopy Center, LLC
• Roseville Family Urgent Care Inc
• Roseville Foot and Ankle PC
• Roseville Health & Wellness Center

• Audiologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.