Susan Ezzati, DDS - Medicare Dentist in Los Altos, CA

Susan Ezzati, DDS is a medicare enrolled "Dentist" provider in Los Altos, California. Her current practice location is 881 Fremont Ave Ste B1, Los Altos, California. You can reach out to her office (for appointments etc.) via phone at (650) 949-4734.

Susan Ezzati is licensed to practice in California (license number 35491) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760548713.

Contact Information

Susan Ezzati, DDS
881 Fremont Ave Ste B1,
Los Altos, CA 94024-5637
(650) 949-4734
(650) 949-5710

Map and Direction




Healthcare Provider's Profile

Full NameSusan Ezzati
GenderFemale
SpecialityDentist
Location881 Fremont Ave Ste B1, Los Altos, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760548713
  • Provider Enumeration Date: 12/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7911218581
  • Enrollment ID: I20150623002514

Medical Identifiers

Medical identifiers for Susan Ezzati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760548713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 35491 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Ezzati is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Ezzati, DDS
881 Fremont Ave Ste B1,
Los Altos, CA 94024-5637

Ph: (650) 949-4734
Susan Ezzati, DDS
881 Fremont Ave Ste B1,
Los Altos, CA 94024-5637

Ph: (650) 949-4734

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.