Jonathan C Leiterman, SC.D

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU2631 Issued in CA

Practice address

5525 Etiwanda Ave Ste 201
Tarzana, CA 91356-6135

Phone

(888) 054-2247

Fax

(888) 405-0429

NPI assigned

Oct 20, 2006

Last updated

Sep 19, 2021By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955
  Medicare reassignment Care Compare group NPD
• Southern California Audiology Associates, Inc

  dba SoCal Hearing and Balance

  • Audiologist
  • Tarzana, CA
  • NPI 1154564300
  Medicare reassignment NPD Authorized official
• ENT Group of Los Angeles

  • Otolaryngology Physician
  • Tarzana, CA
  • NPI 1518359850
  Medicare reassignment NPD
• La Hearing Diagnostics Centers LLC

  • Neurology Physician
  • Thousand Oaks, CA
  • NPI 1518836733
  Medicare reassignment

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1093897662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566135",
            "telephone_number": "818-578-5093",
            "fax_number": "888-405-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE STE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566135",
            "telephone_number": "888-054-2247",
            "fax_number": "888-405-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20911 Earl St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034336",
            "country_code": "US",
            "telephone_number": "888-405-2247",
            "fax_number": "888-405-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITERMAN",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "SC.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00071500",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154564300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan J Lee, D.M.D., M.D.
• Ted Lee, PHARMD
• Judy P Leese, MED PT
• Richard G Leff, MD
• Leisure Village
• Leland E Hilburg, MD, Inc.
• Inna Lemeshko, NURSE PRACTITIONER
• Lucia Leon
• Leonora S. Fihman, DPM, a Professional Corporation
• Diana L. Lerner, DACCHM

• Audiologist-Hearing Aid Fitter in Tarzana, CA
• Providers in Tarzana, 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 19, 2021; 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.

Verify at the official NPI Registry.