Active NPI
Sean Michael Tubbs, AU.D.
- Audiologist
- Oceanside, CA
National Provider Identifier
1962597294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1896
- Practice address
- 3907 Waring Rd 1
Oceanside, CA 92056 - Phone
- (760) 758-6009
- Fax
- (760) 724-2604
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | AU1896 | CA | Primary |
Addresses
Primary practice location
3907 Waring Rd 1
Oceanside, CA 92056
Mailing address
3907 Waring Rd 1
Oceanside, CA 92056
Phone (760) 758-6009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050720000505 | CA | Practitioner - Qualified Audiologist | 0547297624 | Practice locations: Vista, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1896 | CA | MD | Occupational Therapist |
| AU1896 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1962597294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 WARING RD 1",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92056",
"telephone_number": "760-758-6009",
"fax_number": "760-724-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 WARING RD 1",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92056",
"telephone_number": "760-758-6009",
"fax_number": "760-724-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.