Individual provider Active NPI

Rachel Ersoff, AUD

  • Audiologist
  • Santa Cruz, CA
National Provider Identifier
1104272657
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
550 Water St Ste a
Santa Cruz, CA 95060-4126
Phone
(831) 476-4414
Fax
(831) 476-0264
NPI assigned
May 13, 2016
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

550 Water St Ste a
Santa Cruz, CA 95060-4126

Mailing address

550 Water St Ste a
Santa Cruz, CA 95060-4126
Phone (831) 476-4414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115001679 CA Practitioner - Qualified Audiologist 8325300163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

243 Green Valley Rd
Suite B
Freedom, CA 95019-3133
Phone (831) 724-9449

550 Water St
Suite a
Santa Cruz, CA 95060-4126
Phone (831) 476-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Oct 22, 2018 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Oct 22, 2018 Accepting new patients

Locations

243 Green Valley Rd
Ste B
Freedom, CA 95019
Phone (831) 724-9449

550 Water St
Ste A
Santa Cruz, CA 95060
Phone (831) 425-0420

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1104272657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "telephone_number": "831-476-4414",
            "fax_number": "831-476-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "telephone_number": "831-476-4414",
            "fax_number": "831-476-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSOFF",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.