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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since October 03, 2019
210 N 4TH ST, SAN JOSE, CA 95112(669) 245-3429 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jun 30, 2025, Oct 7, 2024 and 3 more (6 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 Address210 N 4TH STSan Jose, CA 95112-5569
Mailing Address210 N 4th StSan Jose, CA 95112-5569 · (669) 245-3429
Phone(669) 245-3429
Sole ProprietorNo
Enumeration DateOctober 3, 2019
Last NPPES UpdateSeptember 25, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ 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
210 N 4TH ST, San Jose, CA 95112
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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.

GEMMA BERDIN
Licensed Vocational Nurse
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
SUNHA JOHANNA TALLAKSON
Counselor (Mental Health)
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (510) 856-7251
SONJA DILLARD
Rehabilitation Counselor
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (510) 337-7950
ALYSSA BRIGGS
Counselor
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
CHRISTOPHER A HERRERA
Peer Specialist
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 245-3429
MS. BARBARA ARNOLDUSSEN RN
Counselor (Mental Health)
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
LILY TRAN
Social Worker
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
NHAN D DO
Rehabilitation Practitioner
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 512-4927

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 210 N 4th St, San Jose, CA 95112. The listed phone number is (669) 245-3429.

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 September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.