SAN DIEGO STATE UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
NPI 1972964468
Audiologist-Hearing Aid Fitter in San Diego, CA
NPI Status: Active since March 11, 2016
Contact Information
5500 CAMPANILE DR
SAN DIEGO, CA
ZIP 92182
Phone: (619) 594-7747
Fax: (619) 594-5917
- Organization
- Audiologist-Hearing Aid Fitter
- CLIA Number: 05D0060831
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 12-15-2026
About SAN DIEGO STATE UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
This page provides the complete NPI Profile along with additional information for San Diego State University Speech, Language And Hearing Clinic, a provider established in San Diego, California operating as a Audiologist-hearing Aid Fitter. The healthcare provider is registered in the NPI registry with number 1972964468 assigned on March 2016. The practitioner's primary taxonomy code is 237600000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is San Diego State University Speech, Language And Hearing Clinic. The authorized official of this NPI record is Agnes Wong Nickerson (Associate Vp Of Financial Operation)
- NPI
- 1972964468
- Provider Legal Name
- SAN DIEGO STATE UNIVERSITY
- Other Organization Name
- SAN DIEGO STATE UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5500 CAMPANILE DR SAN DIEGO, CA 92182
- Location Phone
- (619) 594-7747
- Location Fax
- (619) 594-5917
- Mailing Address
- 5500 CAMPANILE DR SAN DIEGO, CA 92182
- Mailing Phone
- (619) 594-7747
- Mailing Fax
- (619) 594-5917
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-11-2016
- Last Update Date
- 03-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Audiologist-Hearing Aid Fitter
- Taxonomy Code
- 237600000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0060831
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- DR. DIANE R. FERNANDEZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to San Diego State University Speech, Language And Hearing Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972964468, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
SAN DIEGO, CA 92182
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972964468, enumerated as an "organization" on March 11, 2016.
The provider is located at 5500 CAMPANILE DR SAN DIEGO, CA 92182 and the phone number is (619) 594-7747.
Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.
