Provider Demographics
NPI:1548383318
Name:CSG BETTER HEARING SERVICES, INC.
Entity Type:Organization
Organization Name:CSG BETTER HEARING SERVICES, INC.
Other - Org Name:CSG BETTER HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CLINICAL AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:925-938-8686
Mailing Address - Street 1:31 PANORAMIC WAY, 1ST FL
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595
Mailing Address - Country:US
Mailing Address - Phone:925-938-8686
Mailing Address - Fax:925-938-7473
Practice Address - Street 1:31 PANORAMIC WAY, 1ST FL
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595
Practice Address - Country:US
Practice Address - Phone:925-938-8686
Practice Address - Fax:925-938-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1138231H00000X
CAHA2506237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0011380Medicaid
CAAU0011380OtherUNITED HEALTHCARE
CAHA0025060OtherBLUE SHIELD
CA171779400OtherDEPT OF LABOR
CAAU0011380Medicaid