Individual provider Active NPI

Alejandro G Ahumada, AU.D.

  • Audiologist
  • San Diego, CA
National Provider Identifier
1427033554
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2697 Issued in CA
Practice address
5395 Ruffin Rd Ste 102
San Diego, CA 92123-1338
Phone
(858) 569-8959
NPI assigned
Dec 13, 2005
Reactivated
Sep 22, 2009
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosound Inc 7 clinicians

Practice addresses (Care Compare)

10755 Scripps Poway Pkwy
San Diego, CA 92131-3924
Phone (858) 603-9255

Hospital & facility affiliations

  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228001575 CA Practitioner - Qualified Audiologist 2466736913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosound, Inc. CurrentSince Sep 28, 2015 Accepting new patients
Scripps Health Current Accepting new patients

Locations

10755 Scripps Poway Pkwy
#581
San Diego, CA 92131
Phone (858) 603-9255

10755 Scripps Poway Pkwy
Ste 581
San Diego, CA 92131
Phone (858) 433-7626

Interoperability endpoints

  • Direct secure messaging: aahumada25734@scrippshlth.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2697 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5395 Ruffin Rd Ste 102
San Diego, CA 92123-1338

Mailing address

2770 2ND Ave Unit 305
San Diego, CA 92103-6232
Phone (915) 256-1132

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2015.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1427033554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 2ND AVE UNIT 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036232",
            "telephone_number": "915-256-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-569-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUMADA",
        "first_name": "ALEJANDRO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-01-27",
        "deactivation_date": "2006-06-16",
        "reactivation_date": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.