ELIZABETH RYAN VIDOVICH LVN
NPI 1033543731
Licensed Practical Nurse in San Jose, CA

Q: What is Elizabeth Vidovich's NPI number?

The NPI number for Elizabeth Vidovich is 1033543731. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Q: What is Elizabeth Vidovich's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 29, 2013

2540 FOREST AVE, SAN JOSE, CA 95117(408) 642-5039(408) 642-5039 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth Ryan Vidovich Lvn NPPES

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

ELIZABETH RYAN VIDOVICH LVN (NPI 1033543731) is an individual licensed practical nurse in San Jose, California, licensed in California (VN230370) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1033543731

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameELIZABETH RYAN VIDOVICHCredential: LVN

Location Address2540 FOREST AVESan Jose, CA 95117-1117

Mailing Address2540 Forest AveSan Jose, CA 95117-1117 · (408) 642-5039 · Fax (408) 642-5039

Phone(408) 642-5039

Fax(408) 642-5039

Sole ProprietorYes

Enumeration DateAugust 29, 2013

✔ NPI 1033543731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in CA · VN230370

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedLicensed Psychiatric TechnicianTaxonomy 167G00000X · License VN203070 (CA)

2540 FOREST AVE, San Jose, CA 95117

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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 Elizabeth Vidovich's NPI number?

The NPI number for Elizabeth Vidovich is 1033543731. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Elizabeth Vidovich located?

Elizabeth Vidovich practices at 2540 Forest Ave, San Jose, CA 95117. The listed phone number is (408) 642-5039.

What is Elizabeth Vidovich's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Vidovich was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.