IRINA TSUKANOVA CADC I
NPI 1356982011
Rehabilitation Practitioner in San Jose, CA

Active since October 03, 2019
425 E SANTA CLARA ST, SAN JOSE, CA 95113(669) 213-1745 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Oct 7, 2024, Jan 24, 2023 and 2 more (5 updates tracked since 2019).

About Irina Tsukanova Cadc I NPPES

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

IRINA TSUKANOVA CADC I (NPI 1356982011) is an individual rehabilitation practitioner in San Jose, California, licensed in California (CI36440922) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1356982011
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameIRINA TSUKANOVACredential: CADC I
Location Address425 E SANTA CLARA STSan Jose, CA 95113-1936
Mailing Address425 E Santa Clara StSan Jose, CA 95113-1936
Sole ProprietorYes
Enumeration DateOctober 3, 2019
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1356982011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License Licensed in CA · CI36440922
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CI36440922 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
425 E SANTA CLARA ST, San Jose, CA 95113

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.

Psychiatry & Neurology (Psychiatry)
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Registered Nurse
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Licensed Vocational Nurse
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Social Worker
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Peer Specialist
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113

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 Irina Tsukanova's NPI number?

The NPI number for Irina Tsukanova is 1356982011. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Irina Tsukanova located?

Irina Tsukanova practices at 425 E Santa Clara St, San Jose, CA 95113. The listed phone number is (669) 213-1745.

What is Irina Tsukanova's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Irina Tsukanova was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.