Roxanna-Elitisia Alizadeh-Azardoust

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

718329 Issued in CA

Practice address

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Phone

(408) 938-2113

Fax

(408) 579-6143

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Roxanna Azardoust Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1104420736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125865",
            "telephone_number": "408-938-2113",
            "fax_number": "408-579-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125865",
            "telephone_number": "408-938-2113",
            "fax_number": "408-579-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIZADEH-AZARDOUST",
        "first_name": "ROXANNA-ELITISIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "718329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNA",
            "last_name": "AZARDOUST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Afsaneh Alimohammadi
• Maria Anna Avellaneda Alina
• Anna Alinea
• Narges Alipanah-Lechner, MD
• Alison Chase, DO
• Nika Aljinovic, MD
• Paul Alkhato
• Alkimiya Surgical Systems PC
• Ali Alkoraishi, M.D.
• Lara Windett Alkoraishi, MFT

• Licensed Vocational Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.