TABAN BAZRAFSHAN (NPI# 1477893998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893998 |
| Entity Type | Individual |
| Full Name | TABAN BAZRAFSHAN |
| Credential | RD |
| Practice Address |
255 W Bullard Ave Suite 124 Clovis CA 93612-0861 |
| Practice Telephone | 5592971300 |
| Practice Fax Number | 5593247534 |
| Mailing Telephone | 5592971300 |
| Mailing Fax Number | 5593247534 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 917132 | CA | Dietary & Nutritional Service Providers |
| Street Address |
255 W BULLARD AVE SUITE 124 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-0861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330809 | Rustom F Damania | Internal Medicine | 255 W Bullard Ave, 113, Clovis, CA 93612-0861 | 2005-07-17 |
| 1235670787 | Central Valley Indian Health, Inc. | Clinic/Center | 255 W Bullard Ave, Suite 109, Clovis, CA 93612-0861 | 2017-03-16 |
| 1104360213 | Julian Alphonse Harris | Physical Therapist | 255 W Bullard Ave, 114, Clovis, CA 93612-0861 | 2016-12-08 |
| 1316327844 | Rochelle Smith | Marriage & Family Therapist | 255 W Bullard Ave, Clovis, CA 93612-0861 | 2015-05-29 |
| 1952664096 | Kimberly Trejo | Social Worker | 255 W Bullard Ave, Suite 124, Clovis, CA 93612-0861 | 2012-06-22 |
| 1376854943 | Gurmit Singh Deol | Registered Nurse | 255 W Bullard Ave, Suite 124, Clovis, CA 93612-0861 | 2010-06-28 |
| 1295971638 | Steven Joseph Thuringer | Physical Medicine & Rehabilitation | 255 W Bullard Ave, Suite 114, Clovis, CA 93612-0861 | 2009-01-06 |
| 1922208404 | Harjeet K Dhaliwal | Internal Medicine | 255 W Bullard Ave, Suite 124, Clovis, CA 93612-0861 | 2007-07-23 |
| 1679784540 | Cheryl Leighter | Dietitian, Registered | 255 W Bullard Ave, #124, Clovis, CA 93612-0861 | 2007-05-24 |
| 1275675480 | G & J Roth Professional Corp | Non-Pharmacy Dispensing Site | 255 W Bullard Ave, 102, Clovis, CA 93612-0861 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659997807 | Lindsey Anne Drew | Dietitian, Registered | 1832 N Villa Ave, Clovis, CA 93619-3796 | 2020-06-23 |
| 1356964415 | Morgan Macneill | Dietitian, Registered | 923 Rosebrook Dr, Clovis, CA 93612-1930 | 2020-05-24 |
| 1487284543 | Sienna Rose Kenney | Dietitian, Registered | 115 N Fairfax Ave, Clovis, CA 93612-0254 | 2020-01-16 |
| 1992225643 | Cristen Whitaker | Dietitian, Registered | 2851 Serena Ave, Clovis, CA 93619-7403 | 2017-06-23 |
| 1679025704 | Nicole Andres | Dietitian, Registered | 363 N Raphael Ln, Clovis, CA 93611-6191 | 2016-10-24 |
| 1083039689 | Colette Muller | Dietitian, Registered | 208 W Dl Ingram Ave, 27somdg, Cannon Afb, Clovis, NM 88103-5014 | 2014-02-19 |
| 1144579137 | Lenka Fenclova Ferry | Dietitian, Registered | 4309 Springwood Dr, Clovis, NM 88101-9745 | 2012-09-05 |
| 1295080711 | Carol R Lesser | Dietitian, Registered | 1983 Everglade Ave, Clovis, CA 93619-2855 | 2012-07-20 |
| 1023203114 | Deborah J Newlin | Dietitian, Registered | 865 Douglas Ave, Clovis, CA 93611-7404 | 2007-09-11 |
| 1548464571 | Elizabeth Griffin Ferris | Dietitian, Registered | Clovis Community Medical Center, 2755 Herndon Avenue, Clovis, CA 93611 | 2007-06-13 |
| Find all providers in CLOVIS | ||||
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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.