Deborah Wilson Clark, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1833 Issued in CA

Practice address

496 1St St Ste 120
Los Altos, CA 94022-3677

Phone

(650) 941-0664

Fax

(650) 941-2892

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Deborah Suzanne Wilson Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Hearing Connection

  • Audiologist
  • Los Altos, CA
  • NPI 1811403835
  NPD Authorized official
• Pacific Hearing Clinic Inc.

  dba Pacific Hearing Service

  • Audiologist-Hearing Aid Fitter
  • Menlo Park, CA
  • NPI 1073652673
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1801935424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 1ST ST STE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223677",
            "telephone_number": "650-941-0664",
            "fax_number": "650-941-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 1ST ST STE 120",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223677",
            "telephone_number": "650-941-0664",
            "fax_number": "650-941-2892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Alameda De Las Pulgas",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940256509",
            "country_code": "US",
            "telephone_number": "650-854-1980",
            "fax_number": "650-854-1987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBORAH",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU 1833",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0023741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WILSON",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.