PETER J. MARINCOVICH (NPI# 1275888976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275888976 |
| Entity Type | Organization |
| Organization Name | PETER J. MARINCOVICH |
| Other Organization Name | AUDIOLOGY ASSOCIATES |
| Practice Address |
45080 Little Lake St Mendocino CA 95460 |
| Mailing Address |
1111 Sonoma Ave Suite 316 Santa Rosa CA 95405-4819 |
| Practice Telephone | 7079374667 |
| Practice Fax Number | 7079373404 |
| Mailing Telephone | 7075234740 |
| Mailing Fax Number | 7075230231 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | DR. PETER J MARINCOVICH (AUDIOLOGIST/OWNER) |
| Authorized Official Telephone | 7075234740 |
| Authorized Official Credential | PH.D., CCC-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
AU758 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Audiology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881949535 | Peter J. Marincovich | Clinic/Center | 591 Redwood Hwy Frontage Rd, Suite 1210, Mill Valley, CA 94941-6001 | 2012-07-18 |
| Street Address |
45080 LITTLE LAKE ST |
| City | MENDOCINO |
| State | CA |
| Zip Code | 95460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104377548 | Carol Ohsiek | Acupuncturist | 44700 Jackson St., Mendocino, CA 95460 | 2016-10-20 |
| 1194169508 | Melanie Fuller | Acupuncturist | 45066 Ukiah Street, Mendocino, CA 95460 | 2013-04-29 |
| 1417266990 | Daniel Kerruish | Marriage & Family Therapist | 45121 Ukiah St., North East Suite - Second Floor, Mendocino, CA 95460 | 2010-09-30 |
| 1215249289 | Bess Naima Donley | Acupuncturist | 45060 Ukiah Street, Suite A, Mendocino, CA 95460 | 2010-07-07 |
| 1124348883 | Steven L Siler | Marriage & Family Therapist | 45121 Ukiah St, Suite C, Mendocino, CA 95460 | 2010-06-04 |
| 1548497316 | Amy Davis | Radiologic Technologist | 45040 Main Street, Mendocino, CA 95460 | 2009-06-18 |
| 1952543266 | Diane Watjen | Occupational Therapist | 10861 Gulch View Drive, Mendocino, CA 95460 | 2009-04-01 |
| 1710129598 | Anna Rathbun | Nutritionist | 45015 Ukiah Street, Mendocino, CA 95460 | 2009-03-25 |
| 1952598997 | Saelon Britton | Physical Therapist | 10910 Lansing St., #3, Mendocino, CA 95460 | 2007-10-03 |
| 1881888261 | Charles Leslie Sleight | Chiropractor | 45080 Little Lake Street, Mendocino, CA 95460 | 2007-08-29 |
| Find all providers in zip 95460 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489063 | Building Blocks Speech and Language Co. | Clinic/Center | 6508 Lonetree Blvd Ste 104, Rocklin, CA 95765-5885 | 2020-05-19 |
| 1982236683 | Sweet Speach Speech Pathology Services Inc | Clinic/Center | 639 Adams Ave, Los Banos, CA 93635-4701 | 2020-02-10 |
| 1760022115 | Sage Communication Clinic | Clinic/Center | 528 Arizona Ave Ste 317, Santa Monica, CA 90401-1440 | 2020-01-14 |
| 1548809841 | S P O T, Inc. | Clinic/Center | 20945 Devonshire St Ste 101b, Chatsworth, CA 91311-2370 | 2020-01-03 |
| 1518505155 | Cayla Kurland Speech-language Pathology, Inc. | Clinic/Center | 11669 Santa Monica Blvd Ste 206, Los Angeles, CA 90025-2992 | 2019-12-13 |
| 1902442130 | Stacy Golden | Clinic/Center | 1550 N Verdugo Rd Apt 37, Glendale, CA 91208-2834 | 2019-11-22 |
| 1265077762 | Rja Enterprises, Inc. | Clinic/Center | 44725 10th St W Ste 260, Lancaster, CA 93534-3049 | 2019-11-08 |
| 1710521414 | Rise Physical Therapy and Pilates Inc. | Clinic/Center | 1550 Parkside Dr, Walnut Creek, CA 94596-3515 | 2019-11-05 |
| 1376184267 | Salient Sound Audiology, Inc. | Clinic/Center | 7759 Herschel Ave Ste B, La Jolla, CA 92037-4478 | 2019-10-02 |
| 1467008581 | Sgv Hearing Aids LLC | Clinic/Center | 6751 Washington Ave, Whittier, CA 90601-4309 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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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.