Alycia H Anzalone, AU.D.
Individual provider Active NPI Audiologist · San Diego, CA
NPI 1982985073 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1982985073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 4413 La Jolla Village Dr
SP P-1
San Diego, CA 92122-1264 - Phone
- (858) 320-0075
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Louisiana State University School of Medicine in New Orleans, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scripps Health
Practice addresses (Care Compare)
12395 El Camino Real
Suite 305
San Diego, CA 92130-3085
Phone (858) 554-9933
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200828002320 | CA | Practitioner - Qualified Audiologist | 7113344623 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current |
Accepting new patients | |
| Scripps Health | Current |
Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
12395 El Camino Real
Ste 305
San Diego, CA 92130
Phone (858) 554-9933
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- aanzalone172922@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
4413 La Jolla Village Dr
SP P-1
San Diego, CA 92122-1264
Mailing address
4413 La Jolla Village Dr
SP P-1
San Diego, CA 92122-1264
Phone (858) 320-0075
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.