Keiko Yvonne Gibson, A.U.D

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

2933 Issued in CA

Practice address

1127 Wilshire Blvd
Ste 1202
Los Angeles, CA 90017-4003

Phone

(714) 898-5732

Fax

(714) 901-4058

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serendipity Hearing IncGroup PAC ID 4587849054, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (2 of 3)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Serendipity Hearing Inc

  • Hearing Aid Equipment
  • Westminister, CA
  • NPI 1760783344
  Medicare reassignment Care Compare group
• Adapt Hearing Inc

  • Hearing Aid Equipment
  • Glendora, CA
  • NPI 1770015083
  NPD (past)
• Sonus-USA, Inc.

  • Audiologist-Hearing Aid Fitter
  • Cerritos, CA
  • NPI 1427156116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1770917049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GARDEN GROVE BLVD",
            "address_2": "STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838234",
            "telephone_number": "714-898-5732",
            "fax_number": "714-901-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "STE 1202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174003",
            "telephone_number": "714-898-5732",
            "fax_number": "714-901-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KEIKO",
        "middle_name": "YVONNE",
        "credential": "A.U.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny R Gibson, MFT
• Demond Lamont Gibson Jr.
• James W. Gibson III, LCSW
• Joy Elaine Gibson, MD
• Katherine N. Gibson, MD
• Kimberly Ann Gibson
• Mary Gibson
• Sakaijah Gibson
• Seanne Cecelia Gibson, LM, CPM
• Teri Ann Gibson, D.D.S.

• Audiologist-Hearing Aid Fitter in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.