Roxanna-elitisia Alizadeh-azardoust, is a
Licensed Vocational Nurse based in San Jose, California. Roxanna-elitisia Alizadeh-azardoust is licensed to practice in California (license number 718329) and her current practice location is
160 E Virginia St Ste 100, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 938-2113.
NPI number for Roxanna-elitisia Alizadeh-azardoust is 1104420736 and her current mailing address is 160 E Virginia St Ste 100, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104420736.
Healthcare Provider's Profile
Full Name | Roxanna-elitisia Alizadeh-azardoust |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 160 E Virginia St Ste 100, San Jose, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104420736
- Provider Enumeration Date: 11/24/2020
- Last Update Date: 04/05/2023
Medical Identifiers
Medical identifiers for Roxanna-elitisia Alizadeh-azardoust such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104420736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
164X00000X | Licensed Vocational Nurse | 718329 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roxanna-elitisia Alizadeh-azardoust is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Roxanna-elitisia Alizadeh-azardoust, 160 E Virginia St Ste 100, San Jose, CA 95112-5865 Ph: (408) 938-2113 | Roxanna-elitisia Alizadeh-azardoust, 160 E Virginia St Ste 100, San Jose, CA 95112-5865 Ph: (408) 938-2113 |
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