Individual provider Active NPI

Caitlin Alyse Davis, AUD

  • Audiologist
  • Simi Valley, CA
National Provider Identifier
1396573937
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3770 Issued in CA
Practice address
2655 1St St Ste 170
Simi Valley, CA 93065-1565
Phone
(805) 584-3327
Fax
(805) 584-3329
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3770 CA Primary
Audiologist-Hearing Aid Fitter 237600000X AU3770 CA

Addresses

Primary practice location

2655 1St St Ste 170
Simi Valley, CA 93065-1565

Mailing address

2655 1St St Ste 170
Simi Valley, CA 93065-1565
Phone (805) 584-3327

Other practice location 1

100 E Thousand Oaks Blvd Ste 268
Thousand Oaks, CA 91360-8147
Phone (805) 584-3327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702001034 CA Practitioner - Qualified Audiologist 7315450392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3770CAMDSchool Psychologist
AU3770CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Mesa Audiology Inc Audiologist-Hearing Aid Fitter CurrentSince Jun 2, 2025 Accepting new patients
Decibel Hearing Services Audiologist PastSince Jul 28, 2024 Accepting new patients

Locations

500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 274-8399

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBA

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, 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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1396573937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 170",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651565",
            "telephone_number": "805-584-3327",
            "fax_number": "805-584-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 170",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651565",
            "telephone_number": "805-584-3327",
            "fax_number": "805-584-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Thousand Oaks Blvd Ste 268",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913608147",
            "country_code": "US",
            "telephone_number": "805-584-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAITLIN",
        "middle_name": "ALYSE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3770",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.