Active NPI
Erica M Burdoin-Rogers
- Audiologist-Hearing Aid Fitter
- Santa Cruz, CA
National Provider Identifier
1790956290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU2558
- Practice address
- 550 Water St BLDG B1
Santa Cruz, CA 95060-4124 - Phone
- (831) 423-6322
- Fax
- (831) 722-3842
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | AU2558 | CA | Primary |
Addresses
Primary practice location
550 Water St BLDG B1
Santa Cruz, CA 95060-4124
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (800) 328-8602
Other practice location 1
260 Main St Ste F
Redwood City, CA 94063-1733
Phone (650) 366-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB272300 | Other | CA | MEDICARE |
| CB272299 | Other | CA | MEDICARE |
| CB272301 | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4351 E Lohman Ave
Suite 103
Las Cruces, NM 88011-8258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2558 | CA | MD | Audiologist-Hearing Aid Fitter |
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.
-
- Audiologist
- Las Cruces, NM
- NPI 1386902773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1790956290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "800-328-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WATER ST BLDG B1",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604124",
"telephone_number": "831-423-6322",
"fax_number": "831-722-3842"
}
],
"practiceLocations": [
{
"address_1": "260 Main St Ste F",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940631733",
"country_code": "US",
"telephone_number": "650-366-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDOIN-ROGERS",
"first_name": "ERICA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB272300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB272299",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB272301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.