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PETER J MARINCOVICH NPI 1417044801


NPI Information

NPI: 1417044801
Provider Name: PETER J MARINCOVICH

Doing Business As: AUDIOLOGY ASSOCIATES

Classification: Audiologist - 231H00000X
Entity Type: Organization
Address:
1111 SONOMA AVE
SUITE 316
SANTA ROSA, CA
ZIP 95405
Phone: (707) 523-4740
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PETER J MARINCOVICH is an audiologist in Santa Rosa, CA. The provider is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. PETER J MARINCOVICH NPI is 1417044801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Audiology Associates.

The provider's business location address is:

1111 SONOMA AVE
SUITE 316
SANTA ROSA, CA
ZIP 95405-819
Phone: (707) 523-4740
Fax: (707) 523-0231

The provider's authorized official is Peter Jansen Marincovich .
The authorized official title is Owner Audiologist and has the following contact phone number (707) 523-4740.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 3/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid FitterHA1949CALIFORNIANo
2231H00000XAudiologistAU758CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ03361ZOTHERCALIFORNIABLUE SHIELD
2ZZZ95043ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3640002077OTHERCALIFORNIARRM
4ZZZ03362ZOTHERCALIFORNIABLUE SHIELD
5AU0007580MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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