Individual provider Active NPI

Jennifer Melissa Crespo, M.A.

  • Audiologist
  • Arcadia, CA
National Provider Identifier
1740629518
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2663 Issued in CA
Practice address
411 E Huntington Dr Ste 121
Arcadia, CA 91006-3788
Phone
(626) 574-3138
Fax
(626) 574-3195
NPI assigned
Jun 14, 2013
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2663 CA Primary
Audiologist-Hearing Aid Fitter 237600000X AU 2663 CA

Addresses

Primary practice location

411 E Huntington Dr Ste 121
Arcadia, CA 91006-3788

Mailing address

215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other practice location 1

13215 Penn St Ste 420
Whittier, CA 90602-1792
Phone (562) 464-5978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140228001158 CA Practitioner - Qualified Audiologist 8921238494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU2663CAMDAudiologist
AU 2663CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Audiologist CurrentSince Oct 3, 2014 Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 28, 2022 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 16, 2020 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Oct 3, 2014 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients

Locations

411 E Huntington Dr
Ste 121
Arcadia, CA 91006
Phone (626) 574-3138

8950 W Olympic Blvd
Ste 207
Beverly Hills, CA 90211
Phone (310) 858-1527

341 Westlake Ctr
Ste 331
Daly City, CA 94015
Phone (650) 755-3688

24012 Calle de la Plata
Ste 215
Laguna Hills, CA 92653
Phone (949) 460-0617

1807 Ximeno Ave
Long Beach, CA 90815
Phone (562) 494-7374

300 E Esplanade Dr
Ste 480
Oxnard, CA 93036
Phone (805) 485-1290

2465 E Palm Canyon Dr
Ste 500
Palm Springs, CA 92264
Phone (760) 322-9533

4460 Black Ave
Ste F
Pleasanton, CA 94566
Phone (925) 484-3507

2555 Ocean Ave
Ste 203
San Francisco, CA 94132
Phone (415) 585-8788

840 Willow St
Ste 300
San Jose, CA 95125
Phone (408) 271-9447

1635 Lake San Marcos Dr
Ste 108
San Marcos, CA 92078
Phone (760) 744-1551

561 N Mountain Ave
Upland, CA 91786
Phone (909) 931-1069

2149 E Garvey Ave N
Ste A3
West Covina, CA 91791
Phone (626) 339-6449

13215 Penn St
Ste 420
Whittier, CA 90602
Phone (562) 464-5978

215 Shuman Blvd
Ste 401
Naperville, IL 60563

Organizations & group practices 9

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1740629518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E HUNTINGTON DR STE 121",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063788",
            "telephone_number": "626-574-3138",
            "fax_number": "626-574-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 Penn St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021792",
            "country_code": "US",
            "telephone_number": "562-464-5978",
            "fax_number": "562-696-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "JENNIFER",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2663",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 2663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.