Individual provider Active NPI

Melissa Erin Barber, M.S. CCC-A

  • Audiologist
  • Camarillo, CA
National Provider Identifier
1700810298
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 2043 Issued in CA
Practice address
5800 Santa Rosa Rd Ste 123
Camarillo, CA 93012-7060
Phone
(805) 482-9821
NPI assigned
Jul 10, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 2043 CA Primary

Addresses

Primary practice location

5800 Santa Rosa Rd Ste 123
Camarillo, CA 93012-7060

Mailing address

19403 Victory Blvd
Suite 23
Reseda, CA 91335-6611
Phone (818) 343-8116

Other practice location 1

19403 Victory Blvd
Suite 23
Reseda, CA 91335-6611
Phone (818) 343-8116

Other names 1

  • Melissa Erin Gillingham Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000403 CA Practitioner - Qualified Audiologist 6305818006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearx West LLCGroup PAC ID 3577535624, 4 clinicians

Practice addresses (Care Compare)

2941 Cochran St
Suite 3
Simi Valley, CA 93065-2789
Phone (805) 842-4453

5800 Santa Rosa Rd
Suite 123
Camarillo, CA 93012-7060
Phone (805) 482-9821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AU 2043CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince Apr 9, 2019 Accepting new patients
Hearx West Inc PastSince Feb 2, 2020 Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 123
Camarillo, CA 93012
Phone (805) 482-9821

7040 Avenida Encinas
Ste 103
Carlsbad, CA 92011
Phone (760) 405-8275

2941 Cochran St
Ste 3
Simi Valley, CA 93065
Phone (805) 842-4453

8341 Laurel Canyon Blvd
Sun Valley, CA 91352
Phone (818) 768-6447

19367 Victory Blvd
Ste 14
Tarzana, CA 91335
Phone (818) 343-8116

16490 Beach Blvd
Westminster, CA 92683
Phone (714) 843-9797

Dept 3316
Carol Stream, IL 60132

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1700810298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19403 VICTORY BLVD",
            "address_2": "SUITE 23",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356611",
            "telephone_number": "818-343-8116",
            "fax_number": "818-343-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SANTA ROSA RD STE 123",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127060",
            "telephone_number": "805-482-9821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19403 Victory Blvd",
            "address_2": "Suite 23",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913356611",
            "country_code": "US",
            "telephone_number": "818-343-8116",
            "fax_number": "818-343-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBER",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GILLINGHAM",
            "middle_name": "ERIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.