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ROXANNA-ELITISIA ALIZADEH-AZARDOUST
NPI 1104420736
Licensed Vocational Nurse in San Jose, CA

Active since November 24, 2020
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 938-2113(408) 579-6143 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2023, Jan 3, 2023, Dec 29, 2022 and 1 more (4 updates tracked since 2020).

About Roxanna-elitisia Alizadeh-azardoust NPPES

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

ROXANNA-ELITISIA ALIZADEH-AZARDOUST (NPI 1104420736) is an individual licensed vocational nurse in San Jose, California, licensed in California (718329) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1104420736
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameROXANNA-ELITISIA ALIZADEH-AZARDOUST
Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865
Mailing Address160 E Virginia St Ste 100San Jose, CA 95112-5865 · (408) 938-2113 · Fax (408) 579-6143
Phone(408) 938-2113
Fax(408) 579-6143
Sole ProprietorNo
Enumeration DateNovember 24, 2020
Last NPPES UpdateApril 5, 20234 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1104420736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 718329
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
160 E VIRGINIA ST STE 100, San Jose, CA 95112
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Other Names 1

Other Name (5)Roxanna Azardoust

Other Providers at the Same Location NPPES 20

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

KATE LOUISE RUSSELL-BOGAN
Student in an Organized Health Care Education/Training Program
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (084) 938-2113
THANH NGUYEN
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 918-2618
CHRISTINA RANGEL
Peer Specialist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MARIA FERNANDA JIMENEZ
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 918-2618
MS. JENNI'FER BANKS-CHAPMAN
Counselor (Professional)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MS. TRAM ANH NGOC DAO DDS
Dentist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 457-7100
JOSEPH ANDRADE
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MISS MARINA PEREVERZEVA
Counselor (Addiction (Substance Use Disorder))
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113

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 Roxanna-elitisia Alizadeh-azardoust's NPI number?

The NPI number for Roxanna-elitisia Alizadeh-azardoust is 1104420736. It was assigned to this individual provider in the NPPES registry on November 24, 2020. The provider is also known as Roxanna Azardoust.

Where is Roxanna-elitisia Alizadeh-azardoust located?

Roxanna-elitisia Alizadeh-azardoust practices at 160 E Virginia St Ste 100, San Jose, CA 95112. The listed phone number is (408) 938-2113.

What is Roxanna-elitisia Alizadeh-azardoust's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Roxanna-elitisia Alizadeh-azardoust was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.