ISABELLA PERICONE (NPI# 1528445343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528445343 |
| Entity Type | Individual |
| Full Name | ISABELLA PERICONE |
| Practice Address |
105 N Bascom Ave Ste 202 San Jose CA 95128-1811 |
| Mailing Address |
Po Box 321086 Los Gatos CA 95032-0118 |
| Practice Telephone | 4089931500 |
| Practice Fax Number | 4089931521 |
| Mailing Telephone | 4086800008 |
| Mailing Fax Number | 4083709088 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 86010521 | Dietary & Nutritional Service Providers |
| Street Address |
105 N BASCOM AVE STE 202 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994445 | Emil A. Anaya | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2005-06-28 |
| 1679931521 | Heart & Rhythm Clinic, A Professional Medical Corporation | Preferred Provider Organization | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2016-02-08 |
| 1932585874 | Bay Area Medical Group Inc | Internal Medicine | 105 N Bascom Ave, 204, San Jose, CA 95128-1811 | 2015-08-03 |
| 1689068215 | Alex Studemeister Md Inc A Professional Medical Corporation | Internal Medicine | 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 | 2015-03-20 |
| 1427497775 | Ir Solutions Inc Medical Corp | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2013-06-20 |
| 1679811202 | Maryam Malekian | Dietitian, Registered | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2013-01-16 |
| 1881977502 | Doylene Chan | Psychologist | 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 | 2011-09-20 |
| 1003148073 | South Bay Cardiovascular Medical Group, Inc | Internal Medicine | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2010-02-02 |
| 1861629453 | Lindsey Jane Bergren Pierce | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2009-06-22 |
| 1003074725 | Interventional Radiology Coverage Inc | Specialist | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030353 | Diets and Life | Nutritionist | 4135 Voltaire St, San Jose, CA 95148-4356 | 2017-01-23 |
| 1801202585 | Michael Tsung-hsiang Chang | Nutritionist | 4155 Moorpark Ave, Suite #7, San Jose, CA 95117-1714 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667623 | The Simple Leaf, LLC | Nutritionist | 4824 Craner Ave Apt 214, North Hollywood, CA 91601-5133 | 2020-10-20 |
| 1265049191 | Chanti Randolph | Nutritionist | 6677 Santa Monica Blvd Apt 1307, Los Angeles, CA 90038-1392 | 2020-09-24 |
| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1003425596 | Cassandra Collins | Nutritionist | 2411 Via Mariposa, San Dimas, CA 91773-4421 | 2020-07-30 |
| 1326660432 | Evan Demarco | Nutritionist | 1524 38th St, Sacramento, CA 95816-6712 | 2020-05-12 |
| 1861020620 | Tooba Syed | Nutritionist | 1170 Beethoven Cmn Unit 307, Fremont, CA 94538-5613 | 2020-03-28 |
| 1588299853 | Susannah Johnson | Nutritionist | 539 San Bernardino Ave, Newport Beach, CA 92663-4812 | 2020-03-07 |
| 1740815471 | Mia Rigden | Nutritionist | 807 Navy St, Santa Monica, CA 90405-5638 | 2020-03-03 |
| 1427683184 | Christina S Blankenburg | Nutritionist | 1545 Pine St Apt 907, San Francisco, CA 94109-4684 | 2020-03-03 |
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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.