Active NPI
Pamela Estonilo
- Hearing Instrument Specialist
- San Jose, CA
National Provider Identifier
1669942462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 8323
- Practice address
- 3517 Pleasant Crest Dr
San Jose, CA 95148-1911 - Phone
- (408) 623-7010
- NPI assigned
- Dec 5, 2018
- 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 | HA8323 | CA | |
| Hearing Instrument Specialist | 237700000X | 8323 | CA | Primary |
Addresses
Primary practice location
3517 Pleasant Crest Dr
San Jose, CA 95148-1911
Mailing address
3517 Pleasant Crest Dr
San Jose, CA 95148-1911
Phone (408) 623-7010
Other practice location 1
15899 Los Gatos Almaden Rd Ste 8
Los Gatos, CA 95032-3739
Phone (408) 354-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88-1867677 | Other | CA | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA8323 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Gatos Community Audiology and Hearing Aid Center | Past | Accepting new patients |
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
- Los Gatos, CA
- NPI 1144659152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1669942462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 PLEASANT CREST DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951481911",
"telephone_number": "408-623-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 PLEASANT CREST DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951481911",
"telephone_number": "408-623-7010"
}
],
"practiceLocations": [
{
"address_1": "15899 Los Gatos Almaden Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950323739",
"country_code": "US",
"telephone_number": "408-354-1312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTONILO",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA8323",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "8323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "88-1867677",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.