San Diego State University
NPI 1972964468ActiveOrganization· Audiologist-Hearing Aid Fitter· San Diego, CA
Audiologist-Hearing Aid Fitter in San Diego, California, registered in NPPES in March 2016, part of San Diego State University. The authorized official on file is Agnes Wong Nickerson, Associate Vp Of Financial Operation.
Overview
| NPI | 1972964468 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | San Diego State University |
| NPI issued | Mar 11, 2016 |
| Last updated in NPPES | Mar 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist-Hearing Aid Fitter Primary | 237600000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 29 Audiologist-Hearing Aid Fitter providers in San Diego · All Audiologist-Hearing Aid Fitter providers in California