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STACY TANNER AUD
NPI 1780732776
Audiologist in Los Angeles, CA

Active since January 08, 2007
4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacy Tanner Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY TANNER AUD (NPI 1780732776) is an individual audiologist in Los Angeles, California, licensed in California (3697) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780732776
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameSTACY TANNERCredential: AUD
Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021
Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011
Phone(323) 783-4011
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1780732776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · 3697
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
4733 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Tanner Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacy Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUH-JER SHEN MD
Internal Medicine (Cardiovascular Disease)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ADRIAN D. MIREA MD
Psychiatry & Neurology (Psychiatry)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
TERRE J WATSON OD
Optometrist
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
BRUNO J. LEWIN MD
Family Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
MICHAEL S. FAN MD
Internal Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ARNOLD BARRON MD
Ophthalmology
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
NAITIVICTOR L ONG PA
Physician Assistant
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
CYNTHIA L PLEHN CRNA
Nurse Anesthetist, Certified Registered
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Tanner's NPI number?

The NPI number for Stacy Tanner is 1780732776. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Stacy Tanner located?

Stacy Tanner practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.

What is Stacy Tanner's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Stacy Tanner enrolled in Medicare?

Yes. Stacy Tanner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Tanner reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Tanner was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.