Individual provider Active NPI

Kelsey Baney, AUD

  • Audiologist-Hearing Aid Fitter
  • Santa Monica, CA
National Provider Identifier
1003579749
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3613 Issued in CA
Practice address
1131 Wilshire Blvd Ste 202
Santa Monica, CA 90401-2065
Phone
(310) 825-5721
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 3613 CA Primary

Addresses

Primary practice location

1131 Wilshire Blvd Ste 202
Santa Monica, CA 90401-2065

Mailing address

20520 Ventura Blvd Apt 109
Woodland Hills, CA 91364-6215
Phone (317) 319-6050

Other practice location 1

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 379-0824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231008000127 CA Practitioner - Qualified Audiologist 0749635936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3613CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Hearing & Balance Center CurrentSince Aug 31, 2023 Accepting new patients

Locations

2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320

301 S Moorpark Rd
Thousand Oaks, CA 91361
Phone (805) 379-0824

Organizations & group practices 1

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1003579749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20520 VENTURA BLVD APT 109",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646215",
            "telephone_number": "317-319-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012065",
            "telephone_number": "310-825-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Moorpark Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611008",
            "country_code": "US",
            "telephone_number": "805-379-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANEY",
        "first_name": "KELSEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "3613",
            "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 Feb 8, 2024; 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.