Individual provider Active NPI

Reynita Romusod Sagon-Alcisto, AU.D.

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1598953093
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2550 Issued in CA
Practice address
2100 W 3Rd St
Suite 100
Los Angeles, CA 90057-1944
Phone
(213) 353-7005
NPI assigned
Oct 9, 2007
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2550 CA Primary

Addresses

Primary practice location

2100 W 3Rd St
Suite 100
Los Angeles, CA 90057-1944

Mailing address

1127 Wilshire Blvd Ste 1620
Los Angeles, CA 90017-4007
Phone (213) 423-7200

Other practice location 1

11001 River Run Blvd Ste 102
Bakersfield, CA 93311-8981
Phone (213) 423-7200

Other practice location 2

1127 Wilshire Blvd Ste 1620
Los Angeles, CA 90017-4007
Phone (213) 423-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324002211 CA Practitioner - Qualified Audiologist 6507183936 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2550CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Hearing Inc. CurrentSince Jul 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Apr 18, 2016 Accepting new patients
The Regents of the University of California CurrentSince Apr 18, 2016 Accepting new patients
House Institute Foundation Audiologist Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

65 N Madison Ave
Ste 201
Pasadena, CA 91101
Phone (626) 577-7792

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

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, 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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1598953093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174007",
            "telephone_number": "213-423-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571944",
            "telephone_number": "213-353-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11001 River Run Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933118981",
            "country_code": "US",
            "telephone_number": "213-423-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Wilshire Blvd Ste 1620",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174007",
            "country_code": "US",
            "telephone_number": "213-423-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGON-ALCISTO",
        "first_name": "REYNITA",
        "middle_name": "ROMUSOD",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2550",
            "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 Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.