Individual provider Active NPI

Roselynn Rachel Plevack, AUD

  • Audiologist
  • Oxnard, CA
National Provider Identifier
1649894478
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3504 Issued in CA
Practice address
1700 N Rose Ave Ste 460
Oxnard, CA 93030-7629
Phone
(805) 983-4214
Fax
(805) 983-0463
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3504 CA Primary
Audiologist-Hearing Aid Fitter 237600000X AU3504 CA

Addresses

Primary practice location

1700 N Rose Ave Ste 460
Oxnard, CA 93030-7629

Mailing address

2876 Sycamore Dr Ste 303
Simi Valley, CA 93065-1550
Phone (805) 583-8698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002268 CA Practitioner - Qualified Audiologist 0840649034 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

Practice addresses (Care Compare)

2876 Sycamore Dr
Suite 303
Simi Valley, CA 93065-1550
Phone (805) 583-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU3504CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Hearing & Balance Center CurrentSince Oct 28, 2023 Accepting new patients

Locations

1700 N Rose Ave
Ste 460
Oxnard, CA 93030
Phone (805) 983-0395

2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320

Organizations & group practices 1

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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1649894478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR STE 303",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651550",
            "telephone_number": "805-583-8698",
            "fax_number": "805-527-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 460",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307629",
            "telephone_number": "805-983-4214",
            "fax_number": "805-983-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEVACK",
        "first_name": "ROSELYNN",
        "middle_name": "RACHEL",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3504",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU3504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.