Active NPI
Sondra Kay Samples, AUDIOLOGIST
- Audiologist
- Glendale, CA
National Provider Identifier
1912265166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 811
- Practice address
- 1505 Wilson Ter
Glendale, CA 91206-4071 - Phone
- (818) 241-2101
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 811 | CA | Primary |
Addresses
Primary practice location
1505 Wilson Ter
Glendale, CA 91206-4071
Mailing address
5323 Live Oak View Ave
Los Angeles, CA 90041-1028
Phone (323) 254-7065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 811 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1912265166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 LIVE OAK VIEW AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411028",
"telephone_number": "323-254-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064071",
"telephone_number": "818-241-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "SONDRA",
"middle_name": "KAY",
"credential": "AUDIOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.