MEDICARE: PAMELA VON PINNON ED.D., CCC-A

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	231H00000X	Audiologist	AU 417	CA
2	237600000X	Audiologist-Hearing Aid Fitter	HA 989	CA
3	237700000X	Hearing Instrument Specialist	HA 989	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HA 989	OTHER	CA	DISPENSING LICENSE #
3	AU 417	OTHER	CA	AUDIOLOGY LICENSE #

General Provider Information

NPI Number	:	1316994205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA VON PINNON ED.D., CCC-A

Provider Business Mailing Address
First Line	:	5725 WINFIELD BLVD
Second Line	:	#3
City	:	SAN JOSE
State	:	CA
Zip	:	95123-2430
Country	:	US
Telephone Number	:	408-365-5700
Fax Number	:	408-365-5702

Provider Business Practice Location Address
First Line	:	1275 LINCOLN AVE
Second Line	:	#6B
City	:	SAN JOSE
State	:	CA
Zip	:	95125-3049
Country	:	US
Telephone Number	:	408-294-0644
Fax Number	:	408-294-0474

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/11/2025

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Directions to “ PAMELA VON PINNON ED.D., CCC-A” Practice Location

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