Active NPI
Jennifer A Hatzkilson, M.A.
- Audiologist
- Irvine, CA
National Provider Identifier
1770513616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU1235
- Practice address
- 62 Corporate Park
Suite 112
Irvine, CA 92606-3122 - Phone
- (949) 250-9695
- Fax
- (949) 250-9698
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1235 | CA | Primary |
Addresses
Primary practice location
62 Corporate Park
Suite 112
Irvine, CA 92606-3122
Mailing address
5192 Chablis Cir
Irvine, CA 92604-3168
Phone (949) 250-9695
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU1235 | Other | CA | AUDIOLOGY STATE LICENCE |
| AU0012350 | Medicaid | CA | |
| HA4149 | Other | CA | HEARING AID DISPENSING |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1235 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Hearing Amplification Services Inc | Audiologist | Past | Accepting new patients |
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.
-
- Audiologist
- Irvine, CA
- NPI 1265115570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770513616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5192 CHABLIS CIR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043168",
"telephone_number": "949-250-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 CORPORATE PARK",
"address_2": "SUITE 112",
"city": "IRVINE",
"state": "CA",
"postal_code": "926063122",
"telephone_number": "949-250-9695",
"fax_number": "949-250-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATZKILSON",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY STATE LICENCE",
"identifier": "AU1235",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0012350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSING",
"identifier": "HA4149",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.