Individual provider Active NPI

Bryce Alexander Altus, AUD

  • Audiologist
  • Ventura, CA
National Provider Identifier
1427675933
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3708 Issued in CA
Practice address
2674 E Main St Ste I
Ventura, CA 93003-2800
Phone
(805) 653-7333
NPI assigned
Jun 30, 2020
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA12482 AZ
Audiologist 231H00000X AU3708 CA Primary

Addresses

Primary practice location

2674 E Main St Ste I
Ventura, CA 93003-2800

Mailing address

2674 E Main St Ste I
Ventura, CA 93003-2800
Phone (805) 653-7333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927000981 CA Practitioner - Qualified Audiologist 5991129264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson Audiology, IncGroup PAC ID 4284026816, 2 clinicians

Practice addresses (Care Compare)

1320 Maricopa Hwy
Suite B
Ojai, CA 93023-3154
Phone (805) 633-9063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA12482AZMDAudiologist
AU3708CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Audiology, Inc. Audiologist CurrentSince May 8, 2023 Accepting new patients
Hearx West Inc PastSince Sep 1, 2022 Accepting new patients

Locations

1320 Maricopa Hwy
Ste B
Ojai, CA 93023
Phone (805) 633-9063

2674 E Main St
Ste I
Ventura, CA 93003
Phone (805) 633-9063

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1427675933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 E MAIN ST STE I",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032800",
            "telephone_number": "805-653-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 E MAIN ST STE I",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032800",
            "telephone_number": "805-653-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTUS",
        "first_name": "BRYCE",
        "middle_name": "ALEXANDER",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA12482",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.