| Katie Ann Ott, RD | |
|
1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | |
| (209) 248-7168 | |
| (209) 846-9641 |
| Full Name | Katie Ann Ott |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1552 Coffee Rd Ste 200, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467095729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86062158 (* (Not Available)) | Primary |
| Provider Name | Central California Bariatric Surgery A Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124141163 PECOS PAC ID: 0547289423 Enrollment ID: O20051121000631 |
| Provider Name | Central California Bariatric Surgery |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104632249 PECOS PAC ID: 5991226698 Enrollment ID: O20250311001601 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Ann Ott, RD 1001 Sylvan Ave Ste A, Modesto, CA 95350-1699 Ph: (209) 248-7168 | Katie Ann Ott, RD 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 Ph: (209) 248-7168 |
Megan Anne Glass, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1821 Kruger Dr, Modesto, CA 95355 Phone: 973-670-2486 | |
Be Food Wise Dietitian Medicare: Not Enrolled in Medicare Practice Location: 931 10th St Ste 771, Modesto, CA 95354 Phone: 209-771-4717 | |
Beth Goodridge, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 931 10th St Ste 771, Modesto, CA 95354 Phone: 209-771-4717 | |
Mireille Salib, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 | |
Lauren Renee Pavlov, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Micah S Bautista, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4747 | |
Amanda Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5086 |