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SAN DIEGO STATE UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
NPI 1972964468
Audiologist-Hearing Aid Fitter in San Diego, CA

Active since March 11, 2016
5500 CAMPANILE DR, SAN DIEGO, CA 92182(619) 594-7747(619) 594-5917 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About San Diego State University Speech, Language And Hearing Clinic NPPES

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

SAN DIEGO STATE UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC (NPI 1972964468) is a healthcare organization registered as an audiologist-hearing aid fitter in San Diego, California and active in the NPI registry since March 2016. The organization lists Agnes Wong Nickerson, Associate Vp Of Financial Operation, as its authorized official.

NPPES Registry Identity

NPI1972964468
Entity TypeOrganization
Primary Taxonomy237600000X
Legal Business NameSAN DIEGO STATE UNIVERSITY
Location Address5500 CAMPANILE DRSan Diego, CA 92182-1518
Mailing Address5500 Campanile DrSan Diego, CA 92182-1518 · (619) 594-7747 · Fax (619) 594-5917
Phone(619) 594-7747
Fax(619) 594-5917
Organization SubpartYes
Authorized OfficialAgnes Wong NickersonAssociate Vp Of Financial Operation · (619) 594-6017
Enumeration DateMarch 11, 2016
✔ NPI 1972964468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
5500 CAMPANILE DR, San Diego, CA 92182
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Other Names 1

Other NameSan Diego State University Speech, Language And Hearing Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA QUEEN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200
MCKENNA PETERSON
Specialist/Technologist (Athletic Trainer)
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-5200
ERIC ESTRADA
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 753-8554
SHERRIE JACOBY NP
Clinic/Center (Health Service)
5500 CAMPANILE DR, STUDENT HEALTH CENTER
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
DR. CHAUNDA CLARISHA CELENTANO DNP, FNP-C, CPNP-PC
Family Medicine
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
GREG GASTALDO M.D.
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-2866
JACKSON MILES MCCLAIN
Student in an Organized Health Care Education/Training Program
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (510) 833-4127

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 San Diego State University's NPI number?

The NPI number for San Diego State University is 1972964468. It was assigned to this organization in the NPPES registry on March 11, 2016. The provider is also known as San Diego State University Speech, Language And Hearing Clinic.

Where is San Diego State University located?

San Diego State University is located at 5500 Campanile Dr, San Diego, CA 92182. The listed phone number is (619) 594-7747.

What is San Diego State University's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

When was this NPI record last updated?

The NPPES record for San Diego State University was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.