Active NPI
Samantha Amber Godby, AU.D., CCC-A, FAA
- Audiologist-Hearing Aid Fitter
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU 2515 , HA 7048
- Practice address
- 3180 Willow LN Ste 218
Thousand Oaks, CA 91361-4992 - Phone
- (805) 870-4498
- Fax
- (805) 870-4625
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU 2515 , HA 7048 | CA | Primary |
Addresses
Primary practice location
3180 Willow LN Ste 218
Thousand Oaks, CA 91361-4992
Mailing address
3180 Willow LN Ste 218
Thousand Oaks, CA 91361-4992
Phone (805) 870-4498
Other practice location 1
300 E Esplanade Dr Ste 370
Oxnard, CA 93036-0290
Phone (805) 870-4498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3180 Willow LN
Suite 218
Thousand Oaks, CA 91361-4992
Phone (805) 870-4498
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2515 , HA 7048 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Chance Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
300 E Esplanade Dr
Ste 370
Oxnard, CA 93036
Phone (805) 870-4498
3180 Willow Ln
Ste 218
Thousand Oaks, CA 91361
Phone (805) 870-4498
1240 S Westlake Blvd
Ste 113
Westlake Village, CA 91361
Phone (805) 495-4527
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-Hearing Aid Fitter
- Thousand Oaks, CA
- NPI 1760771349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1861670184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 WILLOW LN STE 218",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614992",
"telephone_number": "805-870-4498",
"fax_number": "805-870-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 WILLOW LN STE 218",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614992",
"telephone_number": "805-870-4498",
"fax_number": "805-870-4625"
}
],
"practiceLocations": [
{
"address_1": "300 E Esplanade Dr Ste 370",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930360290",
"country_code": "US",
"telephone_number": "805-870-4498",
"fax_number": "805-870-4625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODBY",
"first_name": "SAMANTHA",
"middle_name": "AMBER",
"credential": "AU.D., CCC-A, FAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU 2515 , HA 7048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.