Individual provider Active NPI

Megan K Larson, A.U.D

  • Audiologist
  • San Luis Obispo, CA
National Provider Identifier
1659820124
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3166 Issued in CA
Practice address
1545 Higuera St
San Luis Obispo, CA 93401-2917
Phone
(805) 242-4487
Fax
(805) 697-0936
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 AU3166 CA Primary

Addresses

Primary practice location

1545 Higuera St
San Luis Obispo, CA 93401-2917

Mailing address

1545 Higuera St
San Luis Obispo, CA 93401-2917
Phone (805) 242-4487

Other identifiers 1

IdentifierTypeStateIssuer
AU3166OtherCASTATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS,SPEECH-LANGUAGE PATHOLOGY &

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018002821 CA Practitioner - Qualified Audiologist 4486942885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M K Larson Audiology IncGroup PAC ID 9830525203, 2 clinicians

Practice addresses (Care Compare)

628 California Blvd
Suite D1
San Luis Obispo, CA 93401-2559
Phone (805) 242-4487

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU3166CAMDAudiologist
3166CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
M K Larson Audiology Inc Audiologist CurrentSince Nov 6, 2019 Accepting new patients

Locations

628 California Blvd
Ste D1
Sn Luis Obisp, CA 93401
Phone (805) 242-4487

Organizations & group practices 1

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1659820124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-242-4487",
            "fax_number": "805-697-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-242-4487",
            "fax_number": "805-697-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MEGAN",
        "middle_name": "K",
        "credential": "A.U.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS,SPEECH-LANGUAGE PATHOLOGY &",
            "identifier": "AU3166",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.