Jacob Blaschko-Iveland, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3454 Issued in CA

Practice address

3734 Sepulveda Blvd
Torrance, CA 90505-2513

Phone

(310) 375-6161

NPI assigned

Mar 19, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jacob Iveland Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Bay Hearing & Balance Center Inc.

  • Audiologist
  • Torrance, CA
  • NPI 1891972113

  Multi-Specialty

  NPD
• South Bay Hearing & Balance Center

  • Audiologist-Hearing Aid Fitter
  • Mission Viejo, CA
  • NPI 1780022624
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1063971976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052513",
            "telephone_number": "507-995-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052513",
            "telephone_number": "310-375-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 Faraday Ave",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087216",
            "country_code": "US",
            "telephone_number": "858-909-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASCHKO-IVELAND",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "12464",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "IVELAND",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christian M Blanco, DMD
• Jacquelyn Blanco
• Antoine Lamonte Blane
• Madison Blankenship
• Bethany Blanton, HEALTH COACH
• Arianna Blatt
• Lisa Antionette Blazio, CATC I
• Jordan Blea, PHD
• Blend Compounding Pharmacy Inc
• Megan Michelle Blick, RD CNSC

• Audiologist-Hearing Aid Fitter in Torrance, CA
• Providers in Torrance, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.