Individual provider Active NPI

Jennifer Howard Wilker, M.S. , AU.D.

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1154535300
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2572 Issued in CA
Practice address
2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1922
Phone
(213) 483-9930
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X RPE4592 CA
Audiologist 231H00000X 2572 CA Primary

Addresses

Primary practice location

2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1922

Mailing address

1005 Patronella Ave
Torrance, CA 90503-5243
Phone (805) 217-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RPE4592CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1154535300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PATRONELLA AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035243",
            "telephone_number": "805-217-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "SUITE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571922",
            "telephone_number": "213-483-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKER",
        "first_name": "JENNIFER",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.S. , AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "RPE4592",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.