Individual provider Active NPI

Kaylee Kimura, AUD

  • Audiologist
  • Pasadena, CA
National Provider Identifier
1508648015
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3841 Issued in CA
Practice address
50 Alessandro PL
Pasadena, CA 91105-3149
Phone
(626) 796-9510
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3841 CA Primary

Addresses

Primary practice location

50 Alessandro PL
Pasadena, CA 91105-3149

Mailing address

500 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4234
Phone (949) 432-7942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412003366 CA Practitioner - Qualified Audiologist 0446699284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronen Nazarian MD IncGroup PAC ID 8022460559, 8 clinicians
Sunset ENT IncGroup PAC ID 0648693770, 5 clinicians

Practice addresses (Care Compare)

414 N Camden Dr
Suite 980
Beverly Hills, CA 90210-4525
Phone (310) 861-3277

4282 Genesee Ave
Suite 201
San Diego, CA 92117-4964
Phone (858) 746-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ronen Nazarian MD Inc CurrentSince Sep 22, 2025 Accepting new patients
Innovative Hearing, Inc. Audiologist Past Accepting new patients

Locations

414 N Camden Dr
Ste 980
Beverly Hills, CA 90210
Phone (310) 278-8811

414 N Camden Dr
Ste 1080
Beverly Hills, CA 90210

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1508648015",
    "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": "949-432-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-796-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "KAYLEE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-03-31",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.