CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM


Address: 445 W Weber Ave Ste 128c, Stockton, CA 95203-3146
Phone: 2093514735

CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM (NPI# 1518407048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518407048
Entity Type Organization
Organization Name CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM
Practice Address 445 W Weber Ave Ste 128c
Stockton
CA 95203-3146
Practice Telephone 2093514735
Mailing Telephone 2093514735
Enumeration Date 2017-03-02
Last Update Date 2017-03-07
Authorized Official Name ALLISON BOYD (OWNER)
Authorized Official Telephone 2093514735
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 943612 CA Dietary & Nutritional Service Providers

Office Location

Street Address 445 W WEBER AVE STE 128C
City STOCKTON
State CA
Zip Code 95203-3146

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447899349 Sagrario Alva Chavez Technician Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 2019-12-26
1538682810 Kumars Transport Non-emergency Medical Transport (VAN) 1112 W Fremont St, Stockton, CA 95203 2017-07-19
1194251595 Jesmond Ridge Medical Services A Medical Corporation Emergency Medicine 525 W Acacla St, Stockton, CA 95203 2017-05-04
1285011064 Brian Andrew Reuter Emergency Medicine Dameron Hospital, 525 Acacia St, Stockton, CA 95203 2015-04-30
1548209240 Aaron James Simko Pediatrics 525 Acacia Street, Neonatal Department, Stockton, CA 95203 2006-06-06
1881057461 El Concilio Case Management 445 N San Joaquin St, Stockton, CA 95203 2016-04-01
1619350634 Sudha Vani Saduvala Internal Medicine 525 W Acacia St, Stockton, CA 95203 2015-07-08
1740621671 Syed Salman Ali Internal Medicine 525 W Acacia St, Stockton, CA 95203 2013-07-08
1417021726 Sahir Naseer Emergency Medicine 525 W Acacia St, Stockton, CA 95203 2006-11-20
1104312800 Melissa Delossantos Behavioral Analyst 2180 Lucerne Ave, Stockton, CA 95203-1257 2018-07-05
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932721610 Deirdre Nicole Carlson Dietitian, Registered 2745 De Ovan Ave, Stockton, CA 95204-1419 2020-05-15
1245875327 Kongpeng C Moua Dietitian, Registered 425 N California St Ste 7, Stockton, CA 95202-2130 2019-11-12
1861979163 Melanie Henry Dietitian, Registered 1008 N San Jose St, Stockton, CA 95203-2162 2018-07-19
1568781482 Tamara A Weese Dietitian, Registered 1617 N California St Ste 2g, Stockton, CA 95204-6117 2010-05-18
1033391701 Mary K Denyer Dietitian, Registered 18421 S Highway 215, Stockton, MO 65785-7330 2007-12-04
1326234220 Allison Loutanda Boyd Dietitian, Registered 445 W Weber Ave, Suite 128c, Stockton, CA 95203-3151 2007-09-24
1407927239 Christine Marie Lewallen Dietitian, Registered 2233 Grand Canal Blvd Ste 106, Stockton, CA 95207-6657 2006-11-13
1063033009 Vanessa Aldana Romo Dietitian, Registered 425 N California St Ste 7, Stockton, CA 95202-2130 2020-04-30
1417592593 Alyssa M Scotese Dietitian, Registered 425 N California St Ste 7, Stockton, CA 95202-2130 2019-11-12
1144785114 Ernie Lin Dietitian, Registered 5302 Harvest Gold Dr, Stockton, CA 95219-2432 2019-02-04
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Competitor

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City STOCKTON
Zip Code 95203

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Dataset Information

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.

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