Individual provider Active NPI

Pamela Estonilo

  • Hearing Instrument Specialist
  • San Jose, CA
National Provider Identifier
1669942462
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8323 Issued in CA
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

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
88-1867677OtherCAN/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

LicenseStateTypeSpecialty
HA8323CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Community Audiology and Hearing Aid Center PastSince Aug 16, 2020 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.

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.

Verify at the official NPI Registry.