Provider Demographics
NPI:1134218332
Name:HEARBRIGHT, AN AUDIOLOGY CORPORATION
Entity type:Organization
Organization Name:HEARBRIGHT, AN AUDIOLOGY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGSIT
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-358-5123
Mailing Address - Street 1:2010 EL CAMINO REAL STE 723
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4051
Mailing Address - Country:US
Mailing Address - Phone:408-937-8900
Mailing Address - Fax:408-937-8902
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 280
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1555
Practice Address - Country:US
Practice Address - Phone:408-937-8900
Practice Address - Fax:408-937-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X, 231HA2400X, 2355A2700X, 237600000X
CAAU1661231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology AssistantGroup - Multi-Specialty
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0016610Medicaid
CAAU0016611Medicaid
CAAU0016610Medicaid
CAAU0016611Medicaid