ANDREA ICAZA
NPI 1922775709
Audiologist in Daly City, CA

Q: What is Andrea Icaza's NPI number?

The NPI number for Andrea Icaza is 1922775709. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Q: What is Andrea Icaza's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Icaza was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2021

15 SOUTHGATE AVE FL 2, DALY CITY, CA 94015(650) 758-5363 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2022, Aug 27, 2021 (2 updates tracked since 2021).

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About Andrea Icaza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ICAZA (NPI 1922775709) is an individual audiologist in Daly City, California, licensed in California (3634) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1922775709

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameANDREA ICAZA

Location Address15 SOUTHGATE AVE FL 2Daly City, CA 94015-1413

Mailing Address15 Southgate Ave Fl 2Daly City, CA 94015-1413 · (650) 758-5363

Phone(650) 758-5363

Sole ProprietorYes

Enumeration DateAugust 27, 2021

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1922775709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in CA · 3634

Definition

(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.

15 SOUTHGATE AVE FL 2, Daly City, CA 94015

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Icaza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrea Icaza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

6.3 mi

Internal Medicine

2238 GEARY
San Francisco, CA 94116

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Icaza's NPI number?

The NPI number for Andrea Icaza is 1922775709. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Andrea Icaza located?

Andrea Icaza practices at 15 Southgate Ave Fl 2, Daly City, CA 94015. The listed phone number is (650) 758-5363.

What is Andrea Icaza's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Andrea Icaza enrolled in Medicare?

Yes. Andrea Icaza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Icaza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Icaza reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Icaza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Icaza was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.