SHANI GOLDGRUB (NPI# 1679096259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679096259 |
| Entity Type | Individual |
| Full Name | SHANI GOLDGRUB |
| Credential | AU.D. |
| Practice Address |
3665 Kearny Villa Rd Ste 400 San Diego CA 92123-1955 |
| Mailing Address |
3020 Childrens Way # Mc5010 San Diego CA 92123-4223 |
| Practice Telephone | 8589668100 |
| Mailing Telephone | 8589661700 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU2531 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
3665 KEARNY VILLA RD STE 400 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992882906 | Mary Alice Melwak | Nurse Practitioner | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2006-11-01 |
| 1518519305 | Kelly Elizabeth Kotula | Nurse Practitioner | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2019-07-11 |
| 1558839837 | Nataly E. Rodriguez | Nurse Practitioner | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2018-11-05 |
| 1255817201 | Brittany Vlosich | Audiologist | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2018-07-12 |
| 1700300308 | Michelle Hu | Audiologist-Hearing Aid Fitter | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2017-07-26 |
| 1528436730 | Brett Jones | Counselor | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| 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 |
| Find all providers in SAN DIEGO | ||||
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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.