Individual provider Active NPI

Rhonda M Jespersen, MA

  • Audiologist-Hearing Aid Fitter
  • Indio, CA
National Provider Identifier
1124244520
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1216 Issued in CA
Practice address
81833 Doctor Carreon Blvd
Suite #1
Indio, CA 92201-5590
Phone
(760) 775-1113
Fax
(760) 775-3222
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU1216 CA Primary

Addresses

Primary practice location

81833 Doctor Carreon Blvd
Suite #1
Indio, CA 92201-5590

Mailing address

81833 Doctor Carreon Blvd
Suite #1
Indio, CA 92201-5590
Phone (760) 775-1113

Other identifiers 3

IdentifierTypeStateIssuer
AU0012160MedicaidCA
HA0026630MedicaidCA
4309846OtherCAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000117 CA Practitioner - Qualified Audiologist 1153499504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1216CAMDAdvanced Practice Dental Therapist
AU1216CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC Audiologist-Hearing Aid Fitter CurrentSince Feb 28, 2025 Accepting new patients
American Hearing Aid Center of the South Bay, Inc Audiologist-Hearing Aid Fitter CurrentSince Jan 3, 2017 Accepting new patients

Locations

81833 Doctor Carreon Blvd
Ste 1
Indio, CA 92201
Phone (760) 775-1113

72655 Highway 111
Ste B3
Palm Desert, CA 92260
Phone (760) 340-9082

301 E Alessandro Blvd
Ste 3C
Riverside, CA 92508
Phone 5614788770212

2918 5th Ave
Ste 108
San Diego, CA 92103
Phone (619) 294-2506

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1124244520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81833 DOCTOR CARREON BLVD",
            "address_2": "SUITE #1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-1113",
            "fax_number": "760-775-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81833 DOCTOR CARREON BLVD",
            "address_2": "SUITE #1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015590",
            "telephone_number": "760-775-1113",
            "fax_number": "760-775-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "RHONDA",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0012160",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0026630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4309846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.