Edina Atanos, AU.D., CCC-A
Individual provider Active NPI Audiologist · San Jose, CA
NPI 1154832004 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1154832004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 3736 (CA)
- Practice address
- 1854 Nelson Way
San Jose, CA 95124-3629 - Phone
- (408) 392-3840
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3736 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3736 | CA | Yes |
Addresses
Primary practice location
1854 Nelson Way
San Jose, CA 95124-3629
Mailing address
1854 Nelson Way
San Jose, CA 95124-3629
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.