Azhar Sultanova

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118811 Issued in CA

Practice address

293 Cervantes
Lake Oswego, OR 97035-1207

Phone

(408) 705-3334

NPI assigned

Mar 26, 2020

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941
  NPD (past)
• LGTC Inc

  • Registered Dietitian
  • San Jose, CA
  • NPI 1710749494
  NPD (past)
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1679100648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 CERVANTES",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351207",
            "telephone_number": "408-705-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 CERVANTES",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351207",
            "telephone_number": "408-705-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANOVA",
        "first_name": "AZHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Strum, M.D.
• Stuart Malkin Counseling
• Jesse Stuckey
• Stephanie Stupfel
• Martin Edward Sudar, LPTA
• Jenae Michelle Summerour, LMT
• Kendra Joan Summers, PHD
• Courtney Renae Summerskill, A.R.N.P.
• Summit Orthopaedics, LLP
• Sunbeam Center

• Marriage & Family Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.