Iveta Agadzhanova, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95170880 Issued in CA

Practice address

1341 N Escondido Blvd
Escondido, CA 92026-2507

Phone

(760) 317-9121

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1427699982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MALLORCA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815047",
            "telephone_number": "760-412-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N ESCONDIDO BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262507",
            "telephone_number": "760-317-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGADZHANOVA",
        "first_name": "IVETA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95170880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Housing Initiatives Inc. (Oak Hill Residential Care)
• Affordable Senior Housing Foundation
• Afsaneh Amini, O.D., a Professional Optometric Corporation (American Eye Optometry)
• Kiabod Afshar, DDS
• Bianca Ann Afuola
• Daniel Solomon Ageze
• Cyrus R Aghdam, DDS
• Marika Aglipay
• Tae'a Lashea Agnew, SUDRC
• Jofhel Opiana Agorrilla, LVN

• Registered Nurse in Escondido, CA
• Providers in Escondido, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.