Individual provider Active NPI

Nancy Maria Karmelich, MA

  • Audiologist
  • Temecula, CA
National Provider Identifier
1265071062
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
HA1995 Issued in CA
Practice address
41789 Nicole LN Ste B2
Temecula, CA 92591-3871
Phone
(951) 699-0111
Fax
(951) 699-0444
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X HA1995 CA Primary

Addresses

Primary practice location

41789 Nicole LN Ste B2
Temecula, CA 92591-3871

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405000913 CA Practitioner - Qualified Audiologist 9436566734 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HA1995CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince Mar 19, 2021 Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 28, 2022 Accepting new patients
Hearx West Inc PastSince Dec 1, 2019 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 16, 2020 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients

Locations

1801 W Romneya Dr
Ste 605
Anaheim, CA 92801
Phone (714) 956-2881

1601 W 17th St
Ste E2
Santa Ana, CA 92706
Phone (657) 900-4142

16490 Beach Blvd
Westminster, CA 92683
Phone (714) 843-9797

Organizations & group practices 9

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1265071062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41789 NICOLE LN STE B2",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913871",
            "telephone_number": "951-699-0111",
            "fax_number": "951-699-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMELICH",
        "first_name": "NANCY",
        "middle_name": "MARIA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "HA1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.