Individual provider Active NPI

Jodi Lynn Stephens, AU.D.

  • Audiologist-Hearing Aid Fitter
  • La Palma, CA
National Provider Identifier
1851670780
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2300 Issued in CA
Practice address
7851 Walker St
Suite 206
La Palma, CA 90623-1747
Phone
(714) 523-4327
Fax
(714) 523-4313
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2300 CA Primary

Addresses

Primary practice location

7851 Walker St
Suite 206
La Palma, CA 90623-1747

Mailing address

7851 Walker St
Suite 206
La Palma, CA 90623-1747
Phone (714) 523-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000258 CA Practitioner - Qualified Audiologist 8426208729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Solutions Hearing and Balance Centers IncGroup PAC ID 2769586221, 6 clinicians

Practice addresses (Care Compare)

7851 Walker St
Suite 206
La Palma, CA 90623-1746
Phone (714) 523-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2300CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Solutions Hearing & Balance Centers, Inc. Audiologist-Hearing Aid Fitter CurrentSince Jun 1, 2012 Accepting new patients
Bristol Park Medical Group, Inc PastSince Jun 1, 2012 Accepting new patients
Noble Audiology, a Professional Corp Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

7106 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 842-2700

7851 Walker St
Ste 206
La Palma, CA 90623
Phone (714) 523-4327

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1851670780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 206",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-523-4327",
            "fax_number": "714-523-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 206",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-523-4327",
            "fax_number": "714-523-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.