Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Jansen Marincovich, PHDAUDIOLOGISTDISP

Individual provider Audiologist · NPI 1447327507

Peter Jansen Marincovich, PHDAUDIOLOGISTDISP is a Qualified Audiologist in Santa Rosa, California. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1111 Sonoma Ave Ste 316
Santa Rosa, CA 95405
Phone: (707) 523-4740
Fax: (707) 523-0231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AU758 (CA)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence HA1949 (CA)

Record details

NPI number1447327507
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDAUDIOLOGISTDISP
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESMarch 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa