Individual provider Active NPI

Elizabeth Comer Jaramillo, AU.D, CNIM

  • Audiologist
  • San Diego, CA
National Provider Identifier
1790778884
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
10755 Scripps Poway Pkwy Ste 581
San Diego, CA 92131-3924
Phone
(858) 433-7626
Fax
(877) 240-8624
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

10755 Scripps Poway Pkwy Ste 581
San Diego, CA 92131-3924

Mailing address

10755 Scripps Poway Pkwy Ste 581
San Diego, CA 92131-3924
Phone (858) 433-7626

Other names 1

  • Mrs. Polly Elizabeth Amaral Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209001703 CA Practitioner - Qualified Audiologist 9739480146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Atlanta School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosound IncGroup PAC ID 3577864974, 7 clinicians

Practice addresses (Care Compare)

10755 Scripps Poway Pkwy
Suite 581
San Diego, CA 92131-3924
Phone (858) 603-9255

Hospital & facility affiliations

  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1842CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosound, Inc. CurrentSince Sep 28, 2015 Accepting new patients
Scripps Health Current Accepting new patients

Locations

10755 Scripps Poway Pkwy
#581
San Diego, CA 92131
Phone (858) 603-9255

10755 Scripps Poway Pkwy
Ste 581
San Diego, CA 92131
Phone (858) 433-7626

Interoperability endpoints

  • Direct secure messaging: ejaramillo126649@scrippshlth.medalliesdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1790778884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY STE 581",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-433-7626",
            "fax_number": "877-240-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY STE 581",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-433-7626",
            "fax_number": "877-240-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "ELIZABETH",
        "middle_name": "COMER",
        "name_prefix": "Dr.",
        "credential": "AU.D, CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "AMARAL",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "AU.D, CNIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.