Individual provider Active NPI

Daniel Wynn Auble

  • Audiologist-Hearing Aid Fitter
  • Santa Rosa, CA
National Provider Identifier
1962506998
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2190 Issued in CA
Practice address
55 Mission Circle #105
Santa Rosa, CA 95409
Phone
(707) 538-1000
Fax
(707) 538-1013
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2190 CA Primary

Addresses

Primary practice location

55 Mission Circle #105
Santa Rosa, CA 95409

Mailing address

55 Mission Circle #105
Santa Rosa, CA 95409
Phone (707) 538-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000451 CA Practitioner - Qualified Audiologist 5799860078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2190CAMDAudiologist-Hearing Aid Fitter
2190CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Hearing Solutions CurrentSince May 3, 2022 Accepting new patients
Personal Hearing Solutions, Inc. Audiologist-Hearing Aid Fitter CurrentSince May 3, 2022 Accepting new patients
Personal Hearing Solutions Past Accepting new patients

Locations

1261 Travis Blvd
Ste 140
Fairfield, CA 94533
Phone (707) 993-4505

593 N McDowell Blvd
Ste C
Petaluma, CA 94954
Phone (707) 778-6503

1421 Guerneville Rd
Ste 224
Santa Rosa, CA 95403
Phone (707) 544-4433

Organizations & group practices 3

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1962506998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MISSION CIRCLE #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION CIRCLE #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBLE",
        "first_name": "DANIEL",
        "middle_name": "WYNN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.