NPIMap

Organization Active NPI

John Tracy Clinic

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1487959938
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
JOHN TRACY CLINIC
Practice address
2160 W. Adams Blvd
Los Angeles, CA 90018-2039
Phone
(213) 748-5481
Fax
(213) 749-1651
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Cathleen Mary Mathes, M.S.ED, LSLS
Title
President & Ceo
Phone
(213) 748-5481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X 191801651 CA

Addresses

Primary practice location

2160 W. Adams Blvd
Los Angeles, CA 90018-2039

Mailing address

2160 W. Adams Blvd
Los Angeles, CA 90018-2039
Phone (213) 748-5481

Other names 1

  • John Tracy Center Doing business as

National Provider Directory

National Provider Directory

Locations

2160 W Adams Blvd
Los Angeles, CA 90018
Phone (213) 748-5481

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1487959938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W. ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900182039",
            "telephone_number": "213-748-5481",
            "fax_number": "213-749-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W. ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900182039",
            "telephone_number": "213-748-5481",
            "fax_number": "213-749-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TRACY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MATHES",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "213-748-5481",
        "authorized_official_credential": "M.S.ED, LSLS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "191801651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Tracy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.