Southern California Audiology Associates, Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2631 Issued in CA

Legal business name

SOUTHERN CALIFORNIA AUDIOLOGY ASSOCIATES, INC

Practice address

5525 Etiwanda Ave Ste 201
Tarzana, CA 91356-6135

Phone

(818) 578-5093

Fax

(888) 405-0429

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Leiterman, SC.D.NPI 1093897662

Title

Audiologist/President

Phone

(310) 360-0332

Specialties & licenses 1

Addresses

Other names 1

• SoCal Hearing and Balance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southern California Audiology Associates

  • Audiologist
  • Beverly Hills, CA
  • NPI 1508199449
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan C Leiterman, SC.D

  • Audiologist-Hearing Aid Fitter
  • Tarzana, CA
  • NPI 1093897662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1154564300",
    "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": "818-578-5093",
            "fax_number": "888-405-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA AUDIOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "LEITERMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUDIOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "310-360-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SC.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Hearing and Balance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoCal Hearing and Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shawn Spencer

• Audiologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.