Individual provider Active NPI

Jennifer Renee Perry, AUD

  • Audiologist-Hearing Aid Fitter
  • Santa Maria, CA
National Provider Identifier
1780938944
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2895 Issued in CA
Practice address
210 S Palisade Dr Ste 204
Santa Maria, CA 93454-8900
Phone
(805) 614-4800
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD60300491 WA
Audiologist-Hearing Aid Fitter 237600000X AU2895 CA Primary

Addresses

Primary practice location

210 S Palisade Dr Ste 204
Santa Maria, CA 93454-8900

Mailing address

210 S Palisade Dr Ste 204
Santa Maria, CA 93454-8900
Phone (805) 614-4800

Other practice location 1

880 Oak Park Blvd Ste 101
Arroyo Grande, CA 93420-1821
Phone (805) 474-6003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104000321 CA Practitioner - Qualified Audiologist 7719131523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast OtolaryngologyGroup PAC ID 2769521178, 2 clinicians

Practice addresses (Care Compare)

116 S Palisade Dr
Suite 206
Santa Maria, CA 93454-8906
Phone (805) 614-9250

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as group
Quality
92.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2895CAMDAudiologist-Hearing Aid Fitter
LD60300491WAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Otolaryngology CurrentSince May 2, 2013 Accepting new patients
M K Larson Audiology Inc CurrentSince Feb 17, 2026 Accepting new patients
Hurdle Hearing & Audiology Inc PastSince Feb 21, 2021 Accepting new patients

Locations

116 S Palisade Dr
Ste 206
Santa Maria, CA 93454
Phone (805) 347-9992

628 California Blvd
Ste D1
Sn Luis Obisp, CA 93401
Phone (805) 242-4487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1780938944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-614-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-614-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Oak Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934201821",
            "country_code": "US",
            "telephone_number": "805-474-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD60300491",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.