Individual provider Active NPI

Ellen Simon, M.S.

  • Audiologist
  • Pasadena, CA
National Provider Identifier
1295139228
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU640 Issued in CA
Practice address
301 E del Mar Blvd
Pasadena, CA 91101-2714
Phone
(626) 796-2014
Fax
(626) 796-2320
NPI assigned
Oct 20, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU640 CA Primary
Speech-Language Pathologist 235Z00000X SP16849 CA

Addresses

Primary practice location

301 E del Mar Blvd
Pasadena, CA 91101-2714

Mailing address

301 E del Mar Blvd
Pasadena, CA 91101-2714
Phone (626) 796-2014

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
AU640CAMDAudiologist
640CAMDSpeech-Language Assistant
SP16849CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Center PastSince Jul 1, 2014 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1295139228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012714",
            "telephone_number": "626-796-2014",
            "fax_number": "626-796-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012714",
            "telephone_number": "626-796-2014",
            "fax_number": "626-796-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ELLEN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU640",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.