1417810110 NPI number — ANZHELA BAYARD DE VOLO RN, BSN, MSN

Table of content: ANZHELA BAYARD DE VOLO RN, BSN, MSN (NPI 1417810110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417810110 NPI number — ANZHELA BAYARD DE VOLO RN, BSN, MSN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAYARD DE VOLO
Provider First Name:
ANZHELA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, BSN, MSN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RUDENKO
Provider Other First Name:
ANZHELA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1417810110
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
435 SARATOGA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA CLARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95050-6434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-423-4320
Provider Business Mailing Address Fax Number:
408-423-4320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1053 PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95126-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-806-4633
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WS0200X , with the licence number:  95137887 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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