Noor Al-Souqi, AUD
Individual provider Active NPI Audiologist · Los Angeles, CA
NPI 1194487876 · NPPES record last updated Oct 14, 2023
Key facts
- NPI
- 1194487876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AU3642 (CA)
- Practice address
- 1640 Marengo St
Los Angeles, CA 90033-1036 - Phone
- (213) 764-2843
- NPI assigned
- Oct 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ronen Nazarian MD Inc
Practice addresses (Care Compare)
414 N Camden Dr
Suite 980
Beverly Hills, CA 90210-4525
Phone (310) 861-3277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, MA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220308000589 | CA | Practitioner - Qualified Audiologist | 4486048493 | Reassigns benefits to 2 organizations |
| I20240605003906 | MA | Practitioner - Qualified Audiologist | 4486048493 | Reassigns benefits to 1 organization |
| I20250319000191 | NC | Practitioner - Qualified Audiologist | 4486048493 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3642 | CA | MD | Acupuncturist |
| AU3642 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronen Nazarian MD Inc | Current |
Accepting new patients | |
| Usc Care Medical Group, Inc | Current |
Accepting new patients | |
| Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc | Current |
Accepting new patients | |
| Western Carolina Ear Nose and Throat Specialists, PLLC | Current |
Accepting new patients | |
| Associates in Otolaryngology Head and Neck Surgery PC | Current |
Accepting new patients | |
| Usc Care Medical Group, Inc | Current |
Accepting new patients | |
| Beach Cities Ents | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
414 N Camden Dr
Ste 980
Beverly Hills, CA 90210
Phone (310) 278-8811
1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583
1640 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4091
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
100 Mlk Jr Blvd
Ste 4
Worcester, MA 01608
Phone (508) 757-0330
100 Mlk Jr Blvd
Worcester, MA 01608
Phone (508) 754-3823
63 Haywood Park Dr
Clyde, NC 28721
Phone (828) 627-1234
850 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 752-5227
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIFHBD
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3642 | CA | Yes |
Addresses
Primary practice location
1640 Marengo St
Los Angeles, CA 90033-1036
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-6601
Other practice location 1
2100 W 3rd St Ste 111
Los Angeles, CA 90057-1999
Phone (213) 483-9930
NPI Registry JSON
{
"created_epoch": "1633737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697241600000",
"number": "1194487876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "626-457-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 MARENGO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331036",
"telephone_number": "213-764-2843"
}
],
"practiceLocations": [
{
"address_1": "2100 W 3rd St Ste 111",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900571999",
"country_code": "US",
"telephone_number": "213-483-9930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-SOUQI",
"first_name": "NOOR",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-09",
"last_updated": "2023-10-14",
"certification_date": "2023-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Claire Castiglioni Al-Rayess
- Tariq Dhiyab Al-Saadi
- Zain Ayad Ibrahim Al-Safi
- Lena Al-Sarraf
- Ziyad Abdulaziz Al-Shathri
- Lina Ahmed Al-Tahhan
- Jeremiah Claudesale Alabado
- Rawan Zeyad Alabdali
- Abdulrahman Alabssi Aljundi
- Alacrity Patient Services, Inc.
All providers in Los Angeles, CA · Audiologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.