IRINA TSUKANOVA CADC I
NPI 1356982011
Rehabilitation Practitioner in San Jose, CA
NPI Status: Active since October 03, 2019
Contact Information
425 E SANTA CLARA ST
SAN JOSE, CA
ZIP 95113
Phone: (669) 213-1745
- Individual
- Female
- Rehabilitation Practitioner
About IRINA TSUKANOVA
This page provides the complete NPI Profile along with additional information for Irina Tsukanova, a provider established in San Jose, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1356982011 assigned on October 2019. The practitioner's primary taxonomy code is 225400000X with license number CI36440922 (CA). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1356982011
- Provider Name
- IRINA TSUKANOVA CADC I
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 425 E SANTA CLARA ST SAN JOSE, CA 95113
- Location Phone
- (669) 213-1745
- Mailing Address
- 425 E SANTA CLARA ST SAN JOSE, CA 95113
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2019
- Last Update Date
- 06-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- CI36440922
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | CI36440922 (CA) |
| 3 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 9 | 8 | 2 | 0 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 18 | 8 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 8 + 8 + 4 + 0 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1356982011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588339287 | TELECARE CORPORATION Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (510) 337-7950 |
| 1417625377 | ALISHA STAR OWEN Individual | Peer Specialist | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 210-7670 |
| 1659049856 | TONYA YVETTE KIMBROUGH Individual | Registered Nurse | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (408) 299-0462 |
| 1326704131 | BERNADETTE STONE Individual | Counselor (Mental Health) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3428 |
| 1023762259 | SHANE SAPUTRA Individual | Registered Nurse | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1104277078 | TELECARE CORPORATION Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (408) 299-0462 |
| 1518683606 | ASHLYNN MICHELLE FRANDSEN Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 225-3100 |
| 1891356671 | ALAN DUY KHIEM LE NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1720575244 | AURIANA NAPIER Individual | Social Worker (Clinical) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1245936798 | MRS. JULIA CLAIRE JORGENSON Individual | Marriage & Family Therapist | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1275230229 | ROSA WEI HUANG Individual | Registered Nurse (Psychiatric/Mental Health) | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1033801386 | KHALEELAH DAWN COATES Individual | Licensed Vocational Nurse | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (408) 343-9442 |
| 1669172979 | CASEY HOUTZ Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (720) 339-5299 |
| 1386360238 | DEIRDRE DAVIS Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1700503851 | MARCIE LYNN RAMOS CEREZO Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1932980877 | MELISSA APOSTOL Individual | Licensed Psychiatric Technician | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1811673593 | YUN-HUAI CHEN Individual | Peer Specialist | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3428 |
| 1205399870 | TREMAYNA A JOHNSON Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (409) 508-2253 |
| 1245988591 | CYRUS E MARTINEZ Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
| 1427706779 | MR. DOMINIK BRAYDEN WENGERT Individual | Case Manager/Care Coordinator | 425 E SANTA CLARA ST SAN JOSE, CA 95113 (669) 245-3429 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356982011, enumerated in the NPI registry as an "individual" on October 03, 2019
The provider is located at 425 E Santa Clara St San Jose, Ca 95113 and the phone number is (669) 213-1745
The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X
This NPI record was last updated on October 03, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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