Active NPI
Tatum Nicole Gates, AU.D.
- Audiologist
- San Diego, CA
National Provider Identifier
1962274878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3844
- Practice address
- 2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817 - Phone
- (858) 279-6772
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3844 | CA | Primary |
Addresses
Primary practice location
2815 Camino del Rio S Ste 220
San Diego, CA 92108-3817
Mailing address
140 Walnut Ave Unit 3a
San Diego, CA 92103-4870
Phone (480) 358-8365
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3844 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurodynamics Inc | Audiologist | Past | Accepting new patients |
| Audioscope Audiology Group Apc | Audiologist | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- San Diego, CA
- NPI 1215003553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1962274878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WALNUT AVE UNIT 3A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034870",
"telephone_number": "480-358-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083817",
"telephone_number": "858-279-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "TATUM",
"middle_name": "NICOLE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.