| Jesus Dimas-arriaga, REGISTERED DIETITIAN | |
|
5900 State Farm Dr Ste 200, Rohnert Park, CA 94928-2149 | |
| (707) 559-7600 | |
| (707) 559-7620 |
| Full Name | Jesus Dimas-arriaga |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 5900 State Farm Dr Ste 200, Rohnert Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649723388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86059626 (California) | Primary |
| Provider Name | Petaluma Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Dimas-arriaga, REGISTERED DIETITIAN 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Jesus Dimas-arriaga, REGISTERED DIETITIAN 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928-2149 Ph: (707) 559-7600 |
Kate Cardle, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7406 Monique Pl, Rohnert Park, CA 94928 Phone: 707-231-8923 | |
Christina Renee Fifer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-206-3214 | |
Mrs. Melanie Fontaine Larson, MA, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-206-3212 Fax: 707-206-3041 |