SHOKOUFEH AZIMA (NPI# 1700378189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700378189 |
| Entity Type | Individual |
| Full Name | SHOKOUFEH AZIMA |
| Practice Address |
4680 Tassajara Rd Dublin CA 94568-4657 |
| Mailing Address |
Po Box 23878 San Jose CA 95153-3878 |
| Practice Telephone | 9258281010 |
| Mailing Telephone | 4085807697 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 705509 | CA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
705509 | CA | Nursing Service Providers |
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
705509 | CA | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
705509 | CA | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
705509 | CA | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
705509 | CA | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
705509 | CA | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
705509 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 95004326 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004326 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95004326 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4680 TASSAJARA RD |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1417518598 | Rachel Fetrow | Nurse Practitioner | 7219 Sawmill Rd Ste 105c, Dublin, OH 43016-5002 | 2019-06-27 |
| 1669976205 | Mary Cox | Nurse Practitioner | 108 Baker Rd, Dublin, VA 24084-3327 | 2018-03-20 |
| 1942710652 | Jamie Weaver | Nurse Practitioner | 6810 Perimeter Dr Ste 200a, Dublin, OH 43016-8013 | 2017-10-08 |
| 1467904763 | Monica Guyton | Nurse Practitioner | 721 Blackshear Ferry Rd W, Dublin, GA 31021-0374 | 2016-11-03 |
| 1891169348 | Candace Conley | Nurse Practitioner | 6705 Avery Muirfield Dr., Suite 1a, Dublin, OH 43017 | 2015-11-20 |
| 1962811554 | Rebecca Ferrell Green | Nurse Practitioner | 5275 Alexander Rd Ste A, Dublin, VA 24084-3657 | 2014-08-07 |
| 1295031458 | Stephanie Rae Rhodebeck | Nurse Practitioner | 425 Metro Place Ste 195, Dublin, OH 43017 | 2011-02-07 |
| 1710107792 | Lydia Lai-wa Wu | Nurse Practitioner | 506 Brookwood Dr, Apt. # Q6, Dublin, GA 31021-4917 | 2007-05-01 |
| 1457433583 | Np Care of Ohio, LLC | Nurse Practitioner | 5650 Blazer Pkwy, Suite 100, Dublin, OH 43017-3562 | 2006-10-19 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on SHOKOUFEH AZIMA.
| 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.