MEDICARE: DR. SUZANNE ESTEP AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	80476	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3785	OTHER	CA	AUDIOLOGIST LICENSE

General Provider Information

NPI Number	:	1356620025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE ESTEP AU.D.

Provider Business Mailing Address
First Line	:	2081 FOREST AVE STE 4
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-4841
Country	:	US
Telephone Number	:	408-358-5123
Fax Number	:	408-358-5193

Provider Business Practice Location Address
First Line	:	200 JOSE FIGUERES AVE STE 280
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1555
Country	:	US
Telephone Number	:	408-937-8900
Fax Number	:	408-937-8902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	02/24/2025

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