Individual provider Active NPI

Philip A Shura Jr., AU.D.

  • Audiologist-Hearing Aid Fitter
  • Los Angeles, CA
National Provider Identifier
1255049953
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU3760 Issued in CA
Practice address
6333 Wilshire Blvd Ste 309
Los Angeles, CA 90048-5723
Phone
(323) 651-5107
Fax
(323) 651-4169
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AU3760 CA
Audiologist-Hearing Aid Fitter 237600000X AU3760 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd Ste 309
Los Angeles, CA 90048-5723

Mailing address

6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Phone (323) 651-5107

Other practice location 1

18238 Prairie Ave
Torrance, CA 90504-4831
Phone (310) 371-0034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514002874 CA Practitioner - Qualified Audiologist 2365911740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
California University of Science and Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serendipity Hearing IncGroup PAC ID 4587849054, 11 clinicians

Practice addresses (Care Compare)

802 Magnolia Ave
Suite 208
Corona, CA 92879-3157
Phone (951) 736-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU3760CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audio RX Hearing Services, Inc. CurrentSince Aug 1, 2003 Accepting new patients

Locations

6333 Wilshire Blvd
Ste 309
Los Angeles, CA 90048
Phone (323) 651-5107

6333 Wilshire Blvd
Los Angeles, CA 90048
Phone (323) 651-1595

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1255049953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-651-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485723",
            "telephone_number": "323-651-5107",
            "fax_number": "323-651-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18238 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905044831",
            "country_code": "US",
            "telephone_number": "310-371-0034",
            "fax_number": "310-371-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURA",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "AU3760",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3760",
            "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 Nov 22, 2022; 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.