Irina Tsukanova · Rehabilitation Practitioner

425 E Santa Clara St, San Jose, CA 95113-1936

Overview

Irina Tsukanova is a Rehabilitation Practitioner practicing in San Jose, California. The National Provider Identifier (NPI) is #1356982011, which was assigned on October 3, 2019, and the registration record was last updated on June 30, 2025. The practitioner's main practice location is at 425 E Santa Clara St, San Jose, CA 95113-1936; the contact telephone number is 6692131745. The primary taxonomy of Irina Tsukanova is Rehabilitation Practitioner (225400000X). Irina Tsukanova is licensed to practice in the state of California (#CI36440922), California (#CI36440922).

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider Information

NPI 1356982011
Entity Type Individual
Provider Name IRINA TSUKANOVA
Gender Female
Credential CADC I
Practice Address 425 E Santa Clara St
San Jose
CA 95113-1936
Practice Telephone 6692131745
Mailing Address 425 E Santa Clara St
San Jose
CA 95113-1936
Certification Date 2025-06-30
Enumeration Date 2019-10-03
Last Update Date 2025-06-30
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N101Y00000XCounselor
N101YA0400XCounselorAddiction (Substance Use Disorder)CI36440922CA
Y225400000XRehabilitation PractitionerCI36440922CA
N171M00000XCase Manager/Care Coordinator

Taxonomy Information

Primary Taxonomy

Code 225400000X
Taxonomy Rehabilitation Practitioner
Classification Rehabilitation Practitioner
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Other Taxonomy

Code 101Y00000X
Taxonomy Counselor
Classification Counselor
Grouping Behavioral Health & Social Service Providers
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Other Taxonomy

Code 101YA0400X
Taxonomy Addiction (Substance Use Disorder) Counselor
Classification Counselor
Specialization Addiction (Substance Use Disorder)
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 171M00000X
Taxonomy Case Manager/Care Coordinator
Classification Case Manager/Care Coordinator
Grouping Other Service Providers
Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Cynthia Alvarez 1710 Mount Silliman Way, Antioch, CA 94531-8802Rehabilitation Practitioner2026-04-09
Jorge Aaron Salas 8755 Aero Dr Ste 230, San Diego, CA 92123-1750Rehabilitation Practitioner2026-04-08
Claudia Magdaleno 18221 E 17th St, Santa Ana, CA 92705-2676Rehabilitation Practitioner2026-04-10
Paula Vanessa Olivera 301 E 13th St, Merced, CA 95341-6211Rehabilitation Practitioner2026-04-10
Dawnn Brown 170 S Oakland Ave, Pasadena, CA 91101-2561Rehabilitation Practitioner2026-04-06
Nick Arce 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699Rehabilitation Practitioner2026-04-03
Alissa Valdez 15740 Turnberry St, Moreno Valley, CA 92555-4903Rehabilitation Practitioner2026-04-06
Nikeisha Arrington 3000 Arnold Dr Building 1340, Suite 142, Martinez, CA 94552Rehabilitation Practitioner2026-04-07
Fernanda Martinez 1360 S Anaheim Blvd Ste 101, Anaheim, CA 92805-6258Rehabilitation Practitioner2026-04-08
Ashley Fluellen 3065 N Rancho Dr Ste 114, Las Vegas, NV 89130-3355Rehabilitation Practitioner2026-04-08
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Location Information

Street Address 425 E SANTA CLARA ST
City SAN JOSE
State CA
Zip Code 95113-1936
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alyssa Angel Herena 425 E Santa Clara St, San Jose, CA 95113-1936Rehabilitation Practitioner2026-03-26
Violet Thornton 425 E Santa Clara St, San Jose, CA 95113-1936Addiction (Substance Use Disorder) Counselor2021-03-09
Nerrisa Nam 425 E Santa Clara St, San Jose, CA 95113-1936Clinical Social Worker2015-06-15
Travis Andrew Hutchins 425 E Santa Clara St, San Jose, CA 95113-1936Psychiatric/Mental Health Registered Nurse2007-09-07
Carlos Padilla 425 E Santa Clara St, San Jose, CA 95113-1936Rehabilitation Practitioner2015-11-06
Rosemae Shanaed M Flores 425 E Santa Clara St, San Jose, CA 95113-1936Registered Nurse2024-04-01
Corey Renee Bryan 425 E Santa Clara St, San Jose, CA 95113-1936Rehabilitation Practitioner2025-01-15
Jenifer Mohler 425 E Santa Clara St, San Jose, CA 95113-1936Student in an Organized Health Care Education/Training Program2025-07-11
Eugene Hayes 425 E Santa Clara St, San Jose, CA 95113-1936Rehabilitation Practitioner2025-06-25
Telecare Corporation 425 E Santa Clara St, San Jose, CA 95113-1936Mental Health Clinic/Center (Including Community Mental Health Center)2021-08-13
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Foresight Health Medical West PC 325 S 1st St Ste 200, San Jose, CA 95113-2835Internal Medicine Physician2025-12-16
Turnout Medical Group West PC 325 S 1st St Ste 200, San Jose, CA 95113-2835Case Manager/Care Coordinator2025-12-10
Christian Durand 2 N Market St Ste 300, San Jose, CA 95113-1211Psychiatric/Mental Health Nurse Practitioner2025-07-21
Emily Rodriguez-Leon 99 Almaden Blvd Ste 600, San Jose, CA 95113-1605Marriage & Family Therapist2016-03-28
Lizbeth Leon Fernandez 99 Almaden Blvd Ste 600, San Jose, CA 95113-1605Behavior Technician2025-09-02
Proactive Care Partners of California PC 111 N Market St Ste 379, San Jose, CA 95113-1101Endocrinology, Diabetes & Metabolism Physician2022-06-01
Healthspark Medical Group West PC 325 S 1st St Ste 120, San Jose, CA 95113-2824Physical Therapy Clinic/Center2025-02-10
Jalina Archuleta 99 S Almaden Blvd, #600, San Jose, CA 95113Behavior Technician2025-09-23
Alfonso Alvarez 2 N Market St Ste 300, San Jose, CA 95113-1211Rehabilitation Practitioner2022-11-29
Olivia Jayden Flores 2 N Market St Ste 300, San Jose, CA 95113-1211Social Worker2025-10-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.