Individual provider Active NPI

Rebekkah Paige Jaramillo

  • Hearing Instrument Specialist
  • Tarzana, CA
National Provider Identifier
1750006268
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8772 Issued in CA
Practice address
19367 Victory Blvd Ste 14
Tarzana, CA 91335-6302
Phone
(661) 425-8754
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8772 CA Primary

Addresses

Primary practice location

19367 Victory Blvd Ste 14
Tarzana, CA 91335-6302

Mailing address

2054 W Avenue K
Lancaster, CA 93536-5216

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8772CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince Oct 1, 2022 Accepting new patients
Hearx West Inc PastSince Oct 30, 2022 Accepting new patients

Locations

2054 W Avenue K
Lancaster, CA 93536
Phone (661) 949-1824

625 Montana Ave
Santa Monica, CA 90403
Phone (310) 393-7007

19367 Victory Blvd
Ste 14
Tarzana, CA 91335
Phone (818) 343-8116

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1750006268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19367 VICTORY BLVD STE 14",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356302",
            "telephone_number": "661-425-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "REBEKKAH",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.