Active NPI
Angelica Brielle O'Boyle, AU.D.
- Audiologist
- Northridge, CA
National Provider Identifier
1740412741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2988
- Practice address
- 18433 Roscoe Blvd
Suite 204
Northridge, CA 91325-4108 - Phone
- (818) 727-7020
- Fax
- (818) 727-7075
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | YA767 | NJ | |
| Audiologist | 231H00000X | 2988 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 9115 | CA |
Addresses
Primary practice location
18433 Roscoe Blvd
Suite 204
Northridge, CA 91325-4108
Mailing address
18433 Roscoe Blvd
Suite 204
Northridge, CA 91325-4108
Phone (818) 727-7020
Other names 1
- Ms. Angelica Brielle Calandra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18433 Roscoe Blvd
Suite 204
Northridge, CA 91325-4136
Phone (818) 727-7020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2988 | CA | MD | Audiologist |
| YA767 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Associates, Inc | Current | Accepting new patients |
Locations
18433 Roscoe Blvd
Ste 204
Northridge, CA 91325
Phone (818) 727-7020
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.
-
- Specialist
- Northridge, CA
- NPI 1710926167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1740412741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "SUITE 204",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-727-7020",
"fax_number": "818-727-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "SUITE 204",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-727-7020",
"fax_number": "818-727-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BOYLE",
"first_name": "ANGELICA",
"middle_name": "BRIELLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "YA767",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2988",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "9115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELICA",
"last_name": "CALANDRA",
"middle_name": "BRIELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.