Robel Nerayo Tadesse

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95448905 Issued in CA

Practice address

2140 Marlboro CT Apt 2
San Jose, CA 95128-5042

Phone

(571) 662-6758

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1578468401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MARLBORO CT APT 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MARLBORO CT APT 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285042",
            "telephone_number": "571-662-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADESSE",
        "first_name": "ROBEL",
        "middle_name": "NERAYO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95448905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Taddeo I, L.C.S.W.
• Stephanie Hideko Tademaru
• Amariah Jaylene Ibus Tadena
• Tadesse Tesfamichael, DDS
• Asmeret Tadesse, HHA, CNA
• Abir Tadros, DDS
• Amgad Tadros, MD
• Saman Tafazoli
• Yosmary Itzel Tafolla Chavez
• Evelyn Tafoya

• Registered Nurse in San Jose, CA
• Providers in San Jose, 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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.