Individual provider Active NPI

Carolina Ruvalcaba Lozano, HIS

  • Hearing Instrument Specialist
  • Woodburn, OR
National Provider Identifier
1619533346
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
10197927 Issued in OR
Practice address
1301 Evergreen Rd Ste 120
Woodburn, OR 97071-2802
Phone
(503) 981-8575
Fax
(503) 981-3062
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 10197927 OR Primary

Addresses

Primary practice location

1301 Evergreen Rd Ste 120
Woodburn, OR 97071-2802

Mailing address

1301 Evergreen Rd Ste E
Woodburn, OR 97071-2826
Phone (503) 981-8575

Other practice location 1

2521 Boone Rd SE Ste 120
Salem, OR 97306-9391
Phone (971) 701-6322

Other names 1

  • Ms. Lina Ruvalcaba Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10197927ORMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
MLM USA LLC Hearing Instrument Specialist PastSince Aug 14, 2025 Accepting new patients
Salem Audiology Clinic, Inc Hearing Instrument Specialist PastSince Feb 7, 2005 Accepting new patients

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1619533346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EVERGREEN RD STE E",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712826",
            "telephone_number": "503-981-8575",
            "fax_number": "503-981-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EVERGREEN RD STE 120",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712802",
            "telephone_number": "503-981-8575",
            "fax_number": "503-981-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 Boone Rd SE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973069391",
            "country_code": "US",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVALCABA LOZANO",
        "first_name": "CAROLINA",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "10197927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "RUVALCABA",
            "prefix": "MS.",
            "credential": "HIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.