GINA M WALLACE (NPI# 1093922056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093922056 |
| Entity Type | Individual |
| Full Name | GINA M WALLACE |
| Credential | AU |
| Practice Address |
2929 Health Center Dr San Diego CA 92123-2762 |
| Practice Telephone | 8589396621 |
| Mailing Telephone | 8589396621 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 2218 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356567176 | Gina Marie Wallace | Home Health Aide | 42 Florence Ave, Painesville, OH 44077-1120 | 2007-04-18 |
| 1598049801 | Gina Marie Wallace | Registered Nurse | 970 Route 146, Clifton Park, NY 12065-3643 | 2011-10-05 |
| Street Address |
2929 HEALTH CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651154 | Helen Elizabeth Noll | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2005-07-07 |
| 1245710458 | Marin Dimmette-schweigert | Audiologist | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2018-08-16 |
| 1053898346 | Nyree Vanmaarseveen | Advanced Practice Midwife | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2018-07-19 |
| 1518485267 | Karoline Crawford | Audiologist | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2017-09-01 |
| 1306388111 | James R Young | Pharmacist | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2016-11-09 |
| 1659826733 | Alisha Jane Keating | Nurse Practitioner | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2016-08-18 |
| 1720436447 | Andrew Heisel | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2016-06-03 |
| 1891142956 | Amit Kumar Pandey | Hospitalist | 2929 Health Center Dr, San Diego, CA 92123 | 2016-05-18 |
| 1720433907 | Gloria Eve Tran | Hospitalist | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2016-04-26 |
| 1184088528 | Anthony Barrack Jr. | Pharmacist | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2016-04-12 |
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| 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 | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| 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". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306276886 | Northland Hearing Centers, Inc | Audiologist-Hearing Aid Fitter | 4504 Clairemont Mesa Blvd, San Diego, CA 92117-2065 | 2013-11-19 |
| 1619282696 | Kenneth A Podlenski, Aud, An Audiology Corporation | Audiologist-Hearing Aid Fitter | 12396 World Trade Dr Ste 205, San Diego, CA 92128-3788 | 2010-08-13 |
| 1053419309 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 9340 Clairemont Mesa Blvd, San Diego, CA 92123-1224 | 2006-09-20 |
| 1609814086 | Antonio C Lacarra | Audiologist-Hearing Aid Fitter | 1244 University Ave, San Diego, CA 92103-3312 | 2006-06-04 |
| 1497279657 | Kristen Baisley | Audiologist-Hearing Aid Fitter | 3020 Children's Way, Mc 5010, San Diego, CA 92123 | 2017-07-31 |
| 1700300308 | Michelle Hu | Audiologist-Hearing Aid Fitter | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2017-07-26 |
| 1215487806 | San Diego Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 4282 Genesee Ave Ste 301, San Diego, CA 92117-4998 | 2016-10-07 |
| 1427458884 | Colleen Moore | Audiologist-Hearing Aid Fitter | 6727 Flanders Dr, #204, San Diego, CA 92121-2926 | 2014-09-03 |
| 1366791691 | Kathleen Alysia Grichar | Audiologist-Hearing Aid Fitter | 4282 Genesee Ave, Suite 301, San Diego, CA 92117-4946 | 2012-08-31 |
| 1093091662 | American Hearing Aid Center of The South Bay Inc | Audiologist-Hearing Aid Fitter | 9340 Clairemont Mesa Blvd, Ste D, San Diego, CA 92123-1224 | 2011-10-27 |
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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.