Active NPI
Nobuko M Ito, AU.D.
- Audiologist-Hearing Aid Fitter
- San Jose, CA
National Provider Identifier
1700930393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU1661
- Practice address
- 467 Saratoga Ave Ste 170
San Jose, CA 95129-1326 - Phone
- (408) 891-1476
- NPI assigned
- Jan 22, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1661 | CA | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AU1661 | CA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AU1661 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AU1661 | CA | Primary |
Addresses
Primary practice location
467 Saratoga Ave Ste 170
San Jose, CA 95129-1326
Mailing address
467 Saratoga Ave Ste 170
San Jose, CA 95129-1326
Phone (408) 891-1476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0016611 | Medicaid | CA | |
| AU0016610 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU1661 | CA | MD | Audiologist-Hearing Aid Fitter |
| 1661 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1700930393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 SARATOGA AVE STE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951291326",
"telephone_number": "408-891-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 SARATOGA AVE STE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951291326",
"telephone_number": "408-891-1476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITO",
"first_name": "NOBUKO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1661",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "CA",
"license": "AU1661",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "CA",
"license": "AU1661",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU1661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0016611",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0016610",
"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 Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.