| Nutriviva.inc | |
|
3535 Ross Ave, San Jose, CA 95124-3054 | |
| (408) 212-7877 | |
| (408) 212-7882 |
| Full Name | Nutriviva.inc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3535 Ross Ave, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679066419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1053627 (California) | Primary |
| Provider Name | Shraddha V Patel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982081287 PECOS PAC ID: 1951615137 Enrollment ID: I20150731016055 |
| Provider Name | Rebecca Coady |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568004356 PECOS PAC ID: 8527497585 Enrollment ID: I20200326003691 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutriviva.inc 3535 Ross Ave, San Jose, CA 95124-3054 Ph: (408) 212-7877 | Nutriviva.inc 3535 Ross Ave, San Jose, CA 95124-3054 Ph: (408) 212-7877 |
Harramanjoyt Hans-brar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-559-2501 | |
Heidi Lidtke, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Parkmoor Ave Ste 230, San Jose, CA 95126 Phone: 408-961-9850 | |
Ms. Chih-chii Amy Shiau, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4563 Borina Dr, San Jose, CA 95129 Phone: 408-656-5906 Fax: 408-517-5785 | |
Katherin Marie Guevara Ocampo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5531 Blossom Gardens Cir # 5531, San Jose, CA 95123 Phone: 510-375-7545 | |
Sajida Abbas Arsiwala, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-7241 | |
Ms. Shamrock Wong, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6315 Mountford Dr, San Jose, CA 95123 Phone: 408-893-4115 Fax: 408-629-7329 | |
Jessica Paredes, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2211 Moorpark Ave Ste 218, San Jose, CA 95128 Phone: 408-998-2325 Fax: 408-998-2022 |