Active NPI
Ashley Jenifer Huerta, AU.D.
- Audiologist
- Tustin, CA
National Provider Identifier
1346673258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3293
- Practice address
- 12791 Newport Ave Ste 101
Tustin, CA 92780-2785 - Phone
- (714) 731-6549
- Fax
- (714) 730-5372
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3293 | CA | Primary |
Addresses
Primary practice location
12791 Newport Ave Ste 101
Tustin, CA 92780-2785
Mailing address
12791 Newport Ave Ste 101
Tustin, CA 92780-2785
Phone (714) 731-6549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414002621 | SD | Practitioner - Qualified Audiologist | 6103052675 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 6020
Rapid City, SD 57709-6020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | CA | MD | Internal Medicine Physician |
| AU3293 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Medical Center, LLP | Current | Accepting new patients |
Locations
241 Minnesota St
Rapid City, SD 57701
Phone (605) 275-1263
2820 Mount Rushmore Rd
#0
Rapid City, SD 57701
2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121
Interoperability endpoints
- ashley.huerta@rcmc.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1487602843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1346673258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12791 NEWPORT AVE STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802785",
"telephone_number": "714-731-6549",
"fax_number": "714-730-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12791 NEWPORT AVE STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802785",
"telephone_number": "714-731-6549",
"fax_number": "714-730-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTA",
"first_name": "ASHLEY",
"middle_name": "JENIFER",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.