Active NPI
Gwendolyn Kay Severance
- Audiologist
- Gardena, CA
National Provider Identifier
1003753252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1464
- Practice address
- 15805 S Budlong Ave
Gardena, CA 90247-4303 - Phone
- (310) 965-7906
- NPI assigned
- May 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1464 | CA | Primary |
Addresses
Primary practice location
15805 S Budlong Ave
Gardena, CA 90247-4303
Mailing address
333 S Beaudry Ave FL 17
Los Angeles, CA 90017-5105
Phone (310) 965-7906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1464 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1003753252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE FL 17",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175105",
"telephone_number": "310-965-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15805 S BUDLONG AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474303",
"telephone_number": "310-965-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERANCE",
"first_name": "GWENDOLYN",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.