Rachel Abucasis, AUD

Individual provider Active NPI Audiologist · Los Angeles, CA

NPI 1659090231 · NPPES record last updated Jan 9, 2024

Key facts

NPI
1659090231
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
3719 (CA)
Practice address
11645 Wilshire Blvd # 601
Los Angeles, CA 90025-1708
Phone
(301) 909-0180
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Qualified Audiologist
Education
City University of New York School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Hearing and Balance., Inc (6 clinicians)

Practice addresses (Care Compare)

11645 Wilshire Blvd
Los Angeles, CA 90025-1708
Phone (310) 477-5558

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100 (group)
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221003001497 CA Practitioner - Qualified Audiologist 1557747383 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3719CAMDAudiologist
8776CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Hearing & Balance., Inc Current
since Oct 13, 2022
Accepting new patients
Providence Saint Johns Medical Foundation Current
since Sep 15, 2022
Accepting new patients
Providence Saint Johns Medical Foundation Current
since Sep 15, 2022
Accepting new patients
Pacific Hearing , Inc Current
since Apr 19, 2023
Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

11645 Wilshire Blvd
Ste 601A
Los Angeles, CA 90025
Phone (310) 477-5558

11645 Wilshire Blvd
#601B
Los Angeles, CA 90025
Phone (310) 477-5558

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

1301 20th St
Ste 300
Santa Monica, CA 90404
Phone (310) 829-7792

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

11645 Wilshire Blvd
Ste 60
West Los Angeles, CA 90025
Phone (310) 477-5558

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 8776 CA
Audiologist 231H00000X 3719 CA Yes

Addresses

Primary practice location

11645 Wilshire Blvd # 601
Los Angeles, CA 90025-1708

Mailing address

11645 Wilshire Blvd # 601
Los Angeles, CA 90025-1708
Phone (310) 909-0180

Other practice location 1

1301 20th St Ste 300
Santa Monica, CA 90404-2087
Phone (310) 829-7792

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Audiologist in California

Sources for this page

Verify at the official NPI Registry.