Individual provider Active NPI

Samantha Amber Godby, AU.D., CCC-A, FAA

  • Audiologist-Hearing Aid Fitter
  • Thousand Oaks, CA
National Provider Identifier
1861670184
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU 2515 , HA 7048 Issued in CA
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

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20151028001592 CA Practitioner - Qualified Audiologist 0244549442 Reassigns benefits to 1 organization

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
Second Chance Hearing Center IncGroup PAC ID 6002092814, 2 clinicians

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

LicenseStateTypeSpecialty
AU 2515 , HA 7048CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Hearing Center, Inc. Audiologist-Hearing Aid Fitter CurrentSince Jul 17, 2016 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.

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.

Verify at the official NPI Registry.