Individual provider Active NPI

Jennifer Nicole Eichert, AUD

  • Audiologist
  • Los Alamitos, CA
National Provider Identifier
1538408448
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3801 Katella Ave Ste 324
Los Alamitos, CA 90720-3370
Phone
(562) 431-6626
Fax
(562) 493-6918
NPI assigned
Feb 12, 2013
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

3801 Katella Ave Ste 324
Los Alamitos, CA 90720-3370

Mailing address

3801 Katella Ave Ste 324
Los Alamitos, CA 90720-3370
Phone (562) 431-6626

Other practice location 1

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

Other names 1

  • Jennifer Nicole Grace Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000019 CA Practitioner - Qualified Audiologist 1759526510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 324
Los Alamitos, CA 90720-3370
Phone (562) 431-6626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Hearing and Balance Center Corporation Audiologist CurrentSince Aug 24, 2025 Accepting new patients

Locations

3801 Katella Ave
Ste 324
Los Alamitos, CA 90720
Phone (562) 431-6626

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1538408448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 324",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203370",
            "telephone_number": "562-431-6626",
            "fax_number": "562-493-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 324",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203370",
            "telephone_number": "562-431-6626",
            "fax_number": "562-493-6918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Old Newport Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634234",
            "country_code": "US",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHERT",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GRACE",
            "middle_name": "NICOLE",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.