Individual provider Active NPI

Johnathon Rayvon O'Neal, AUD

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1487372124
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1245 Wilshire Blvd Ste 470
Los Angeles, CA 90017-5839
Phone
(213) 483-9930
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 470
Los Angeles, CA 90017-5839

Mailing address

500 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4234
Phone (949) 642-7935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221203000333 CA Practitioner - Qualified Audiologist 7719356351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Phone (213) 482-2770

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3723CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Current Accepting new patients
House Ear Clinic Inc Current Accepting new patients
Newport Mesa Audiology Inc CurrentSince Aug 9, 2022 Accepting new patients
House Ear Clinic Inc CurrentSince Aug 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Feb 1, 2024 Accepting new patients
Pih Health Physicians CurrentSince Feb 1, 2024 Accepting new patients
Serendipity Hearing Inc Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 470
Los Angeles, CA 90017

1245 Wilshire Blvd
Ste 480
Los Angeles, CA 90017

1245 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 202-2800

1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583

500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 274-8399

431 S Batavia St
Ste 200
Orange, CA 92868
Phone (714) 516-9570

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBA

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1487372124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634234",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 470",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175839",
            "telephone_number": "213-483-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "JOHNATHON",
        "middle_name": "RAYVON",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.