DR. JACOB JUDE VALLA (NPI# 1053748475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053748475 |
| Entity Type | Individual |
| Full Name | DR. JACOB JUDE VALLA |
| Credential | AU.D |
| Practice Address |
1809 National Ave San Diego CA 92113-2113 |
| Mailing Address |
500 W Harbor Dr Unit 418 San Diego CA 92101-7721 |
| Practice Telephone | 6195152300 |
| Practice Fax Number | 6194960412 |
| Mailing Telephone | 5858029917 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU3261 | CA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | AT006315 | PA | Speech, Language and Hearing Service Providers |
| Street Address |
1809 NATIONAL AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697559 | Said Raqib Sana | Emergency Medicine | 1809 National Ave, San Diego, CA 92113-2113 | 2006-02-08 |
| 1679191423 | Pamela Santana Castillo | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-07-08 |
| 1750909792 | Melissa Favela-ayala | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-07-07 |
| 1306474812 | Lorena Amparo Oropeza Oregel | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-03-30 |
| 1568097707 | Margaux Bianca Mariano | Occupational Therapist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-03-09 |
| 1528698057 | Anya Katzina Mancillas | Speech-Language Pathologist | 1809 National Ave, San Diego, CA 92113-2113 | 2020-01-23 |
| 1316584931 | Vanessa Nungaray Ruvalcaba | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2019-12-02 |
| 1760028666 | Zakirah Hasan | Dietitian, Registered | 1809 National Ave, San Diego, CA 92113-2113 | 2019-11-26 |
| 1699311241 | Carla Sahian Rangel | Nutritionist | 1809 National Ave, San Diego, CA 92113-2113 | 2019-11-19 |
| 1497398077 | Georgina Parra | Dietitian, Registered | 1809 National Ave, San Diego, CA 92113-2113 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1447870092 | Scj Audiology and Monitoring PC | Audiologist | 5895 Friars Rd Apt 5101, San Diego, CA 92110-6016 | 2020-04-23 |
| 1659883122 | Cris Teena Hunt | Audiologist | 4705 Del Monte Ave, San Diego, CA 92107-3501 | 2017-10-24 |
| 1043683899 | Joan Wingfield | Audiologist | 12579 Cresta Pl, San Diego, CA 92128-2312 | 2015-11-02 |
| 1710367735 | Synapse Advanced Audiology, Inc. | Audiologist | 6727 Flanders Dr Ste 204, San Diego, CA 92121-2926 | 2015-06-04 |
| 1447664149 | Hung Mai | Audiologist | 7910 Frost St Ste 420, San Diego, CA 92123-2765 | 2014-06-20 |
| 1326461351 | Lauren Kristen Harrison | Audiologist | 2815 Camino Del Rio S Ste 220, San Diego, CA 92108-3817 | 2014-01-27 |
| 1992062806 | Linda Mclean Dye | Audiologist | 6125 Printwood Way, San Diego, CA 92117-3346 | 2012-04-16 |
| 1982985073 | Alycia H Anzalone | Audiologist | 4413 La Jolla Village Dr, Sp P-1, San Diego, CA 92122-1264 | 2011-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.