UNIVERSITY OF THE PACIFIC (NPI# 1679766398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679766398 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF THE PACIFIC |
| Practice Address |
3601 Pacific Ave Department of Audiology Stockton CA 95211-0110 |
| Practice Telephone | 2099462381 |
| Mailing Telephone | 2099462381 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | DR. DAVID ALVIN JARDINE (DIRECTOR, AUDIOLOGY CLINIC) |
| Authorized Official Telephone | 2099467490 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | HA7228 | CA | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | AU2426 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1194186999 | University of The Pacific | Clinic/Center | 142 Alhambra St, San Francisco, CA 94123-2004 | 2016-03-08 |
| 1851414189 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2007-04-10 |
| 1588050942 | University of The Pacific | Dentist | 155 5th St, Business Office, San Francisco, CA 94103-2919 | 2015-04-13 |
| 1316344104 | University of The Pacific | Audiologist | 155 5th St, Audiology Clinic, San Francisco, CA 94103-2919 | 2014-11-24 |
| 1407273279 | University of The Pacific | Dentist | 155 5th St, Popl Suite 407e, San Francisco, CA 94103-2919 | 2014-03-18 |
| 1366870834 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2013-10-21 |
| 1295085413 | University of The Pacific | Pharmacist | 3601 Pacific Ave, T. J. Long School of Pharmacy, Stockton, CA 95211-0110 | 2012-09-14 |
| 1932345386 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2009-01-06 |
| 1922105824 | University of The Pacific | Clinic/Center | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UNIVERSITY OF THE PACIFIC | 3601 Pacific Ave, Stockton, CA 95211 |
| Street Address |
3601 PACIFIC AVE DEPARTMENT OF AUDIOLOGY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95211-0110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798880 | Philip J Gregory | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2005-05-23 |
| 1295357341 | Lena Saucedo | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-4969 | 2020-05-12 |
| 1326680745 | Emily Ann Gahn | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-17 |
| 1497396832 | Enrique Becerra | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-07 |
| 1396386058 | Carly Anne Ranson | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0197 | 2019-10-03 |
| 1124678750 | Breanna Moreira | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-09-16 |
| 1437658374 | Aaren Mariah Robinson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1801395736 | Boone Alexander Meyer | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1356879365 | Leah Sampson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-06-02 |
| 1558807438 | Christina Marie Brekelmans | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312253 | Antoinetta Nursing Service LLC | Adult Companion | 2300 Montana Ave Suite 200-b, Cincinnati, OH 95211 | 2015-04-06 |
| 1063799740 | Aunyaporn Amornpongchai | Audiologist | 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 | 2011-11-09 |
| 1518963453 | Veronica Tovar Bandy | Pharmacist | Thomas J Long School of Pharmacy & Health Sciences, 751 Brookside Road, Stockton, CA 95211 | 2005-06-24 |
| 1871927392 | Amy Lynn Diep | Pharmacist | University of The Pacific, 3601 Pacific Ave, Stockton, CA 95211 | 2013-09-03 |
| 1639274616 | Marilyn Garcia Javier | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211 | 2006-09-14 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1902221955 | Yvonne My Y Thuy Mai | Pharmacist | Department of Pharmacy Practice, 3601 Pacific Avenue, Stockton, CA 95211-0001 | 2014-02-27 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1619169539 | Nancy Emilia Sirker | Student in an Organized Health Care Education/Training Program | 1526 Mosaic Way #450, Stockton, CA 95211-0001 | 2007-08-14 |
| 1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
| Find all providers in zip 95211 | ||||
| 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 |
|---|---|---|---|---|
| 1063799740 | Aunyaporn Amornpongchai | Audiologist | 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 | 2011-11-09 |
| 1225288806 | Erica Diana Rodriguez | Audiologist | 2911 E Anita St, Stockton, CA 95205-3848 | 2008-09-19 |
| 1104985613 | Ken Edward Norton | Audiologist | 1231 W Robinhood Dr Ste A2, Stockton, CA 95207-5506 | 2006-12-08 |
| 1871591917 | Linda Louise Wolff | Audiologist | 9506 Corsa Way, Stockton, CA 95212-3143 | 2005-07-12 |
| 1023509734 | Kimberly Tersilla Smith | Audiologist | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2018-05-29 |
| 1932649779 | Cvs Aoc Services, L.L.C. | Audiologist | 2605 W March Ln, Stockton, CA 95207-6522 | 2017-02-27 |
| 1881143832 | Stephanie Borja-johnson | Audiologist | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2016-09-30 |
| 1679914535 | Stephanie Elise West Raval | Audiologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2013-07-08 |
| 1619036530 | Troy Hamilton | Audiologist | 7373 West Lane, Stockton, CA 95210-3377 | 2006-12-06 |
| 1396819884 | Andrea Lynn Wallace | Audiologist | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-17 |
| Find all providers in STOCKTON | ||||
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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.