JAN MICHAEL GAMBLE (NPI# 1386133411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386133411 |
| Entity Type | Individual |
| Full Name | JAN MICHAEL GAMBLE |
| Other Name | JAN MICHAEL DE LA CRUZ |
| Credential | AUD |
| Practice Address |
98 Montgomery Dr Ste B Santa Rosa CA 95404-6615 |
| Mailing Address |
3443 Villa Ln Ste 3 Napa CA 94558-6417 |
| Practice Telephone | 7072520990 |
| Mailing Telephone | 7072520990 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 3358 | CA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 11580 | CA | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 8189 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 Main St, Saint Helena, CA 945741850 | 7072520990 | |
| 18990 Coyote Valley Rd Ste 4, Hidden Valley Lake, CA 954678339 | 7072520990 | |
| 3443 Villa Ln Ste 3, Napa, CA 945586417 | 7072520990 |
| Street Address |
98 MONTGOMERY DR STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811345481 | Lorelle Saxena | Acupuncturist | 98 Montgomery Dr Ste B, Santa Rosa, CA 95404-6615 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1669949012 | Jessica Rose Hyde | Audiologist-Hearing Aid Fitter | 3333 Mendocino Ave Ste 115, Santa Rosa, CA 95403-3631 | 2018-10-24 |
| 1881067890 | Amber Marjorie Powner | Audiologist-Hearing Aid Fitter | 1111 Sonoma Ave Ste 316, Santa Rosa, CA 95405-4820 | 2015-11-12 |
| 1548402704 | Millennium Hearing Services Inc. | Audiologist-Hearing Aid Fitter | 4725 Hoen Ave, Suite B, Santa Rosa, CA 95405-7862 | 2009-04-01 |
| 1124227996 | Jeffrey Timothy Zemrak | Audiologist-Hearing Aid Fitter | 100 Santa Rosa Plaza, Sears Hearing Center Miracle Ear, Santa Rosa, CA 95401 | 2007-07-12 |
| 1720697022 | Lisa Marie Dehner | Audiologist-Hearing Aid Fitter | 1111 Sonoma Ave Ste 316, Santa Rosa, CA 95405-4820 | 2020-07-23 |
| 1700072030 | California Hearing Solutions Inc | Audiologist-Hearing Aid Fitter | 1421 Guerneville Rd, Suite 224, Santa Rosa, CA 95403-7220 | 2007-09-20 |
| 1750580528 | Gardners Hearing Centers | Audiologist-Hearing Aid Fitter | 100 Santa Rosa Plaza, Sears Hearing Center, Santa Rosa, CA 95401 | 2007-07-12 |
| 1164560579 | William S Diles | Audiologist-Hearing Aid Fitter | 52 Mission Cir, Ste #203, Santa Rosa, CA 95409-5369 | 2007-02-01 |
| 1417044801 | Peter J Marincovich | Audiologist-Hearing Aid Fitter | 1111 Sonoma Ave, Suite 316, Santa Rosa, CA 95405-4819 | 2006-10-06 |
| 1497859425 | Christine G Diles | Audiologist-Hearing Aid Fitter | 1421 Guerneville Rd, Ste 224, Santa Rosa, CA 95403-7220 | 2006-09-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.