Individual provider Active NPI

Jacob Mason Ahn, AU.D

  • Audiologist
  • La Palma, CA
National Provider Identifier
1366938318
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11591 Issued in CA
Practice address
7851 Walker St Ste 206
La Palma, CA 90623
Phone
(714) 523-4327
NPI assigned
Jul 2, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180813000680 CA Practitioner - Qualified Audiologist 0840548582 Reassigns benefits to 2 organizations

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
Sound Solutions Hearing and Balance Centers IncGroup PAC ID 2769586221, 6 clinicians

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

LicenseStateTypeSpecialty
3323CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Solutions Hearing & Balance Centers, Inc. CurrentSince Jul 9, 2018 Accepting new patients
Shohet Ear Associates Medical Group Inc CurrentSince Mar 2, 2026 Accepting new patients
Bristol Park Medical Group, Inc PastSince Jul 9, 2018 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.