Active NPI
Souraya Lorenz, AU.D.
- Audiologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3563
- Practice address
- 12395 El Camino Real Ste 305
San Diego, CA 92130-3085 - Phone
- (858) 554-9933
- Fax
- (858) 481-8027
- NPI assigned
- Oct 14, 2020
- Last updated
- Jun 22, 2023
- 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 | AU3563 | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real Ste 305
San Diego, CA 92130-3085
Mailing address
12395 El Camino Real Ste 305
San Diego, CA 92130-3085
Phone (858) 554-9933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Louisville School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12395 El Camino Real
Suite 112
San Diego, CA 92130-3084
Phone (858) 554-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3563 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hearing and Balance Corp | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400
12395 El Camino Real
Ste 112
San Diego, CA 92130
Phone (619) 670-5400
12395 El Camino Real
Ste 305
San Diego, CA 92130
Phone (858) 554-9933
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
6229 W 87th St
Westchester, CA 90045
Phone (310) 677-1168
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Los Angeles, CA
- NPI 1740324508
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1033717715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL STE 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303085",
"telephone_number": "858-554-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL STE 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303085",
"telephone_number": "858-554-9933",
"fax_number": "858-481-8027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "SOURAYA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.