Individual provider Active NPI

Brook Lee Raguskus, AU.D.

  • Audiologist
  • Los Altos, CA
National Provider Identifier
1073654331
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1838 Issued in CA
Practice address
496 1St St
Suite 120
Los Altos, CA 94022-3676
Phone
(650) 941-0664
Fax
(650) 941-2892
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 3792 CA
Audiologist 231H00000X 1838 CA Primary

Addresses

Primary practice location

496 1St St
Suite 120
Los Altos, CA 94022-3676

Mailing address

496 1St St Ste 120
Los Altos, CA 94022-3677
Phone (650) 941-0664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712001305 CA Practitioner - Qualified Audiologist 3779519517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Pacific Hearing Clinic Inc.Group PAC ID 0547356081, 8 clinicians

Practice addresses (Care Compare)

496 1St St
Los Altos, CA 94022-3677
Phone (650) 941-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Hearing Clinic Audiologist-Hearing Aid Fitter CurrentSince Apr 1, 2008 Accepting new patients
Pacific Hearing Clinic Inc. Audiologist-Hearing Aid Fitter CurrentSince Apr 1, 2008 Accepting new patients

Locations

496 1st St
Ste 120
Los Altos, CA 94022
Phone (650) 941-0664

3555 Alameda de las Pulgas
#100
Menlo Park, CA 94025
Phone (650) 854-0413

3555 Alameda de las Pulgas
Ste 1
Menlo Park, CA 94025
Phone (650) 854-1980

Organizations & group practices 2

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1073654331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 1ST ST STE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223677",
            "telephone_number": "650-941-0664",
            "fax_number": "650-941-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 1ST ST",
            "address_2": "SUITE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223676",
            "telephone_number": "650-941-0664",
            "fax_number": "650-941-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSKUS",
        "first_name": "BROOK",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "3792",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.