Individual provider Active NPI

Stephani Rose, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Orange, CA
National Provider Identifier
1144660101
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2908 Issued in CA
Practice address
1046 W Town and Country Rd BLDG G
Orange, CA 92868-4716
Phone
(714) 516-9570
Fax
(714) 516-9575
NPI assigned
Jul 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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 2908 CA Primary

Addresses

Primary practice location

1046 W Town and Country Rd BLDG G
Orange, CA 92868-4716

Mailing address

1046 W Town and Country Rd BLDG G
Orange, CA 92868-4716
Phone (714) 516-9570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000601 CA Practitioner - Qualified Audiologist 7315180452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronen Nazarian MD IncGroup PAC ID 8022460559, 8 clinicians

Practice addresses (Care Compare)

414 N Camden Dr
Suite 980
Beverly Hills, CA 90210-4525
Phone (310) 861-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2908CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ronen Nazarian MD Inc CurrentSince Sep 1, 2024 Accepting new patients
Orange Coast Fyzical Past Accepting new patients

Locations

414 N Camden Dr
Ste 980
Beverly Hills, CA 90210
Phone (310) 278-8811

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": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1144660101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 W TOWN AND COUNTRY RD BLDG G",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684716",
            "telephone_number": "714-516-9570",
            "fax_number": "714-516-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 W TOWN AND COUNTRY RD BLDG G",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684716",
            "telephone_number": "714-516-9570",
            "fax_number": "714-516-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STEPHANI",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.