| Rene Gaeta, RD | |
|
4058 Willows Rd, Alpine, CA 91901-1668 | |
| (619) 445-1188 | |
| Not Available |
| Full Name | Rene Gaeta |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 2 Years |
| Location | 4058 Willows Rd, Alpine, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740158641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86150586 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Indian Health Council | 9830221449 | 18 |
| Provider Name | Southern Indian Health Council |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922090885 PECOS PAC ID: 9830221449 Enrollment ID: O20180202000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Rene Gaeta, RD 2766 Worden St, San Diego, CA 92110-5704 Ph: (213) 562-9539 | Rene Gaeta, RD 4058 Willows Rd, Alpine, CA 91901-1668 Ph: (619) 445-1188 |
Amy Rose Cochran, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 |
Ms. Lisa M. Turner, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-3399 Fax: 619-659-3147 |
Bold Plate Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2710 Alpine Blvd Ste K108, Alpine, CA 91901 Phone: 858-254-5721 |
April Ball, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 |
Diana Mahler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 |
Ashley Holt, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 |