Active NPI
Alicia R Traktman, AUD
- Assistive Technology Practitioner Audiologist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 000000AU1556
- Practice address
- Uci Medical Center
101 The City Drive South
Orange, CA 92868 - Phone
- (714) 456-2986
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 000000AU1556 | CA | Primary |
Addresses
Primary practice location
Uci Medical Center
101 The City Drive South
Orange, CA 92868
Mailing address
University Head & Neck Surgeon
PO Box 513700
Los Angeles, CA 90051-3700
Phone (714) 456-2986
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-5731
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000AU1556 | CA | MD | Assistive Technology Practitioner Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Head & Neck Surgeons | Current | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
19200 Jamboree Rd
Ste 3100
Irvine, CA 92612
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
101 The City Dr S
Bldg 30A
Orange, CA 92868
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.
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-
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- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1457433633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY HEAD & NECK SURGEON",
"address_2": "PO BOX 513700",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900513700",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCI MEDICAL CENTER",
"address_2": "101 THE CITY DRIVE SOUTH",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAKTMAN",
"first_name": "ALICIA R",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "CA",
"license": "000000AU1556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.