Organization Active NPI

Los Angeles Audiology Group, Inc.

  • Audiologist-Hearing Aid Fitter
  • Los Angeles, CA
National Provider Identifier
1801044698
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1730 Issued in CA
Legal business name
LOS ANGELES AUDIOLOGY GROUP, INC.
Practice address
3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205
Phone
(213) 386-6108
Fax
(213) 386-6182
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Matthew Denzil Michaels, M.S.
Title
President
Phone
(213) 386-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AU1730 CA Primary

Addresses

Primary practice location

3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205

Mailing address

3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205
Phone (213) 386-6108

Other identifiers 4

IdentifierTypeStateIssuer
AU0017300MedicaidCA
AU0017302MedicaidCA
1710993993OtherCAINDIVIDUAL NPI
AU0017301MedicaidCA

Other names 1

  • Los Angeles Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Audiology Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1801044698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 WILSHIRE BLVD",
            "address_2": "SUITE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103205",
            "telephone_number": "213-386-6108",
            "fax_number": "213-386-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 WILSHIRE BLVD",
            "address_2": "SUITE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103205",
            "telephone_number": "213-386-6108",
            "fax_number": "213-386-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES AUDIOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DENZIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-386-6108",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0017300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0017302",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1710993993",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0017301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.