Individual provider Active NPI

Lindsay Cockburn, AU.D.

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1609112614
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2843 Issued in CA
Practice address
2160 W Adams Blvd
Los Angeles, CA 90018-2039
Phone
(213) 748-5481
Fax
(213) 749-1651
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2843 CA Primary

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 practice location 1

806 W Adams Blvd
Los Angeles, CA 90007-2505
Phone (213) 748-5481 ext. 231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Tracy Clinic Audiologist CurrentSince Sep 29, 2019 Accepting new patients
California State University Northridge Audiologist CurrentSince May 19, 2024 Accepting new patients

Locations

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

806 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 748-5481

18111 Nordhoff St
Northridge, CA 91330
Phone (818) 677-1200

18111 Nordhoff St
Rm 100
Northridge, CA 91330
Phone (818) 677-2856

18111 Nordhoff St
Rm 1
Northridge, CA 91330
Phone (818) 677-2856

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1609112614",
    "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": [
        {
            "address_1": "806 W Adams Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900072505",
            "country_code": "US",
            "telephone_number": "213-748-5481 x231",
            "fax_number": "213-749-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKBURN",
        "first_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2843",
            "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 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.