1184837478 NPI number — DR. DIANNE SCHINDLER AUDIOLOGIST

Table of content: (NPI 1184837478)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184837478 NPI number — DR. DIANNE SCHINDLER AUDIOLOGIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. DIANNE SCHINDLER AUDIOLOGIST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184837478
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
121 S CHINA LAKE BLVD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
RIDGECREST
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93555-4049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-375-9399
Provider Business Mailing Address Fax Number:
760-375-9499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
121 S CHINA LAKE BLVD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
RIDGECREST
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93555-4049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-375-9399
Provider Business Practice Location Address Fax Number:
760-375-9499
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHINDLER
Authorized Official First Name:
DIANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
AUDIOLOGIST OWNER
Authorized Official Telephone Number:
760-375-9399

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  1371 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AU1371 . This is a "GALLAGHER BENEFIT ADMIN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ475592 . This is a "BC BS FEP AUDIOLOGY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: AU1371 . This is a "TRICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: AU1371 . This is a "BC SISCIII" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ47559Z . This is a "BS OF CA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ00900Z . This is a "GEHA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: AU1371 . This is a "INDEPENDENCE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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