Active NPI
Jacob Mason Ahn, AU.D
- Audiologist
- La Palma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 11591
- Practice address
- 7851 Walker St Ste 206
La Palma, CA 90623 - Phone
- (714) 523-4327
- NPI assigned
- Jul 2, 2018
- Last updated
- Jul 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 11591 | CA | Primary |
Addresses
Primary practice location
7851 Walker St Ste 206
La Palma, CA 90623
Mailing address
8252 Orangethorpe Ave
Buena Park, CA 90621-3854
Phone (714) 766-9580
Other practice location 1
7106 Edinger Ave
Huntington Beach, CA 92647-3568
Phone (714) 842-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
446 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4246
Phone (949) 631-4327
7851 Walker St
Suite 206
La Palma, CA 90623-1746
Phone (714) 523-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3323 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Solutions Hearing & Balance Centers, Inc. | Current | Accepting new patients | |
| Shohet Ear Associates Medical Group Inc | Current | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients | |
| Noble Audiology, a Professional Corp | Past | Accepting new patients |
Locations
7106 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 842-2700
7851 Walker St
Ste 206
La Palma, CA 90623
Phone (714) 523-4327
446 Old Newport Blvd
Ste 100
Newport Beach, CA 92663
Phone (949) 631-4327
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otology & Neurotology Physician
- Newport Beach, CA
- NPI 1144420738
-
- Audiologist-Hearing Aid Fitter
- La Palma, CA
- NPI 1083714893
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
dba Allied Hearing Services
- Audiologist-Hearing Aid Fitter
- Huntington Beach, CA
- NPI 1881611606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1366938318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8252 ORANGETHORPE AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213854",
"telephone_number": "714-766-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 WALKER ST STE 206",
"city": "LA PALMA",
"state": "CA",
"postal_code": "90623",
"telephone_number": "714-523-4327"
}
],
"practiceLocations": [
{
"address_1": "7106 Edinger Ave",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926473568",
"country_code": "US",
"telephone_number": "714-842-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHN",
"first_name": "JACOB",
"middle_name": "MASON",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-02",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "11591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.