Individual provider Active NPI

Kathleen Anne Harlan, M.A., CCC-A

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1336320589
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1462 Issued in CA
Practice address
11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807
Phone
(310) 477-5558
Fax
(310) 477-7281
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU 1462 CA
Audiologist 231H00000X 1462 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807

Mailing address

11645 Wilshire Blvd
Suite 600
Los Angeles, CA 90025-1708
Phone (310) 477-5558

Other names 1

  • Miss Kathleen Anne Janes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000737 CA Practitioner - Qualified Audiologist 3870657331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Hearing and Balance., IncGroup PAC ID 8820084973, 6 clinicians

Practice addresses (Care Compare)

11645 Wilshire Blvd
Los Angeles, CA 90025-1708
Phone (310) 477-5558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1462CAMDNaturopath
AU 1462CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Hearing , Inc CurrentSince Apr 12, 2010 Accepting new patients
Pacific Hearing & Balance., Inc CurrentSince Apr 12, 2010 Accepting new patients
Hearing Associates, Inc CurrentSince Apr 12, 2010 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

11645 Wilshire Blvd
#601B
Los Angeles, CA 90025
Phone (310) 477-5558

11645 Wilshire Blvd
Ste 601B
Los Angeles, CA 90025

11645 Wilshire Blvd
Ste 601
Los Angeles, CA 90025
Phone (310) 909-0180

11645 Wilshire Blvd
Ste 601A
Los Angeles, CA 90025
Phone (310) 477-5558

18433 Roscoe Blvd
Ste 204
Northridge, CA 91325
Phone (818) 727-7020

11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558

11645 Wilshire Blvd
Ste 60
West Los Angeles, CA 90025
Phone (310) 477-5558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1336320589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 1462",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "1462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "JANES",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "M.A., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 12, 2020; 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.