MARY AZAH (NPI# 1407208846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407208846 |
| Entity Type | Individual |
| Full Name | MARY AZAH |
| Practice Address |
160 E Virginia St Ste 100 San Jose CA 95112-5865 |
| Mailing Address |
1724 Samson Ct San Jose CA 95124-4600 |
| Practice Telephone | 4086948463 |
| Mailing Telephone | 4086948463 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
480700 | CA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005580 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
160 E VIRGINIA ST STE 100 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-5865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407924863 | Jasmin Angelica Estrada | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2006-12-01 |
| 1588264352 | Olena Shevchenko | Case Manager/Care Coordinator | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-29 |
| 1497354716 | April Rose Wentworth | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-19 |
| 1881292605 | Hugo Badillo Sanchez | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-14 |
| 1831796473 | Annie Nguyen | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-07 |
| 1265049027 | Javier Garibay | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-09-25 |
| 1508479767 | Hope Nguyen | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-27 |
| 1649883224 | Mimi Nguyen | Social Worker | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-25 |
| 1457964074 | Precilla Cabugao | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-24 |
| 1881207405 | Alec Jonathan Burckle | Student in an Organized Health Care Education/Training Program | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710396148 | Sally Thanhthanh Nguyen | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2014-08-11 |
| 1518237536 | M Berenice Soto | Registered Nurse | 976 Lenzen Ave, San Jose, CA 95126-6216 | 2012-01-06 |
| 1376772368 | Lai Kuen Chu | Registered Nurse | 1715 Lundy Ave, Suites 108-116, San Jose, CA 95131-1837 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.