Active NPI
Carson Lynette Kirsch, AU.D.
- Audiologist
- Santa Monica, CA
National Provider Identifier
1497130884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2113
- Practice address
- 1919 Santa Monica Blvd Ste 220
Santa Monica, CA 90404-1966 - Phone
- (310) 207-1526
- NPI assigned
- Jul 27, 2015
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2113 | CA | Primary |
Addresses
Primary practice location
1919 Santa Monica Blvd Ste 220
Santa Monica, CA 90404-1966
Mailing address
2730 Wilshire Blvd
Ste 450
Santa Monica, CA 90403-4742
Phone (310) 207-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171117000730 | CA | Practitioner - Qualified Audiologist | 1850657289 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2730 Wilshire Blvd
Suite 450
Santa Monica, CA 90403-4742
Phone (310) 586-5533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2113 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonus-USA, Inc. | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Sun City, AZ
- NPI 1356356117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1497130884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "STE 450",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034742",
"telephone_number": "310-207-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 SANTA MONICA BLVD STE 220",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041966",
"telephone_number": "310-207-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCH",
"first_name": "CARSON",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.