Peter J Marincovich
Peter J Marincovich is a healthcare organization registered as Audiologist in Santa Rosa, CA, holding Type 2 (organization) NPI 1417044801 since 2006. The authorized official on file is Peter Marincovich, Owner Audiologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417044801 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peter J Marincovich |
| Other name | <Unavail> |
| Practice address | 1111 SONOMA AVE, SUITE 316, Santa Rosa, CA, 95405 |
| Phone | 7075234740 |
| Fax | 7075230231 |
| Enumeration date | 2006-10-06 |
| Last updated in NPPES | 2013-03-13 |
Authorized official
| Name | Peter Marincovich |
|---|---|
| Title | Owner Audiologist |
| Phone | 7075234740 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 237600000X | Audiologist-Hearing Aid Fitter | Secondary | HA1949 | CA |
| 231H00000X | Audiologist | Primary | AU758 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640002077 | Other | CA | RRM |
| ZZZ03361Z | Other | CA | BLUE SHIELD |
| AU0007580 | Medicaid | CA | — |
| ZZZ03362Z | Other | CA | BLUE SHIELD |
Copy-ready billing details
Provider: Peter J Marincovich NPI: 1417044801 Taxonomy: 231H00000X (Audiologist) Address: 1111 SONOMA AVE, SUITE 316, Santa Rosa, CA, 95405
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558360479 | Patrick Devlin | Individual | Cardiovascular Disease Physician | Santa Rosa, CA |
| 1447231055 | Laboratory Corporation of America | Organization | Clinical Medical Laboratory | Santa Rosa, CA |
| 1083655252 | Roger Klein | Individual | Orthopaedic Surgery Physician | Santa Rosa, CA |
| 1053356618 | Emma Williamson | Individual | Midwife | Santa Rosa, CA |
| 1497782239 | Chris Kosakowski | Individual | Surgery Physician | Santa Rosa, CA |
| 1427138684 | Paul V Sejud Dmd PC | Organization | Oral and Maxillofacial Surgery (Dentist) | Santa Rosa, CA |
| 1508927070 | Sutter Medical Group of the Redwoods | Organization | Obstetrics & Gynecology Physician | Santa Rosa, CA |
| 1174685895 | Robert Sweat | Individual | Specialist | Santa Rosa, CA |
Verify this record
Cross-check NPI 1417044801 against the authoritative CMS record: view Peter J Marincovich on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-13.