Organization Active NPI

Alexander Audiology Inc.

  • Assistive Technology Practitioner Audiologist
  • Santa Monica, CA
National Provider Identifier
1851836407
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
AU2808 Issued in CA
Legal business name
ALEXANDER AUDIOLOGY INC.
Practice address
1304 15TH St Ste 405
Santa Monica, CA 90404-1813
Phone
(818) 438-4595
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Mrs. Melissa D. Alexander, AUDIOLOGIST/AUDNPI 1326300161
Title
Owner/Aud
Phone
(818) 438-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2400X AU2808 CA Primary

Addresses

Primary practice location

1304 15TH St Ste 405
Santa Monica, CA 90404-1813

Mailing address

4856 Longridge Ave.
Sherman Oaks, CA 91423
Phone (818) 438-4595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110001448 CA Part B Supplier - Clinic/Group Practice 5496011272 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA; Solvang, CA

National Provider Directory

National Provider Directory

Locations

1260 15th St
Ste 200
Santa Monica, CA 90404
Phone (424) 738-3778

1304 15th St
Ste 405
Santa Monica, CA 90404
Phone (310) 319-1819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1851836407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 LONGRIDGE AVE.",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-438-4595",
            "fax_number": "323-531-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 405",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041813",
            "telephone_number": "818-438-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER AUDIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/AUD",
        "authorized_official_telephone_number": "818-438-4595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUDIOLOGIST/AUD"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.