SUSAN EZZATI DDS
NPI 1760548713
Dentist in Los Altos, CA

Active since December 27, 2006PECOS Enrolled
881 FREMONT AVE STE B1, LOS ALTOS, CA 94024(650) 949-4734(650) 949-5710 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Ezzati Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN EZZATI DDS (NPI 1760548713) is an individual dentist in Los Altos, California, licensed in California (35491) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760548713
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUSAN EZZATICredential: DDS
Location Address881 FREMONT AVE STE B1Los Altos, CA 94024-5637
Mailing Address881 Fremont Ave Ste B1Los Altos, CA 94024-5637 · (650) 949-4734 · Fax (650) 949-5710
Fax(650) 949-5710
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760548713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 35491
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

881 FREMONT AVE STE B1, Los Altos, CA 94024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Ezzati Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
881 FREMONT AVE STE B1
LOS ALTOS, CA 94024
Dentist (General Practice)
881 FREMONT AVE STE B1
LOS ALTOS, CA 94024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Ezzati's NPI number?

The NPI number for Susan Ezzati is 1760548713. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Susan Ezzati located?

Susan Ezzati practices at 881 Fremont Ave Ste B1, Los Altos, CA 94024. The listed phone number is (650) 949-4734.

What is Susan Ezzati's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Ezzati enrolled in Medicare?

Yes. Susan Ezzati is registered in the Medicare PECOS enrollment system.

What insurance does Susan Ezzati accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susan Ezzati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Ezzati was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.