| Sophie Desroches, RDN | |
|
147 N Brent St, Ventura, CA 93003-2809 | |
| (805) 652-5066 | |
| (805) 641-1706 |
| Full Name | Sophie Desroches |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 24 Years |
| Location | 147 N Brent St, Ventura, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154752400 | NPI | - | NPPES |
| 1011980 | Other | CA | CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1011980 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Memorial Health System | 9537155676 | 167 |
| Provider Name | Community Memorial Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie Desroches, RDN 147 N Brent St, Ventura, CA 93003-2809 Ph: (805) 652-5066 | Sophie Desroches, RDN 147 N Brent St, Ventura, CA 93003-2809 Ph: (805) 652-5066 |
Surfside Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13 Stanislaus Ave, Ventura, CA 93004 Phone: 925-699-3002 | |
Hannah Ellen Moore, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2605 Loma Vista Rd, Ventura, CA 93003 Phone: 777-754-4083 | |
Mary Georgiana Kiddle, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5066 Fax: 805-641-1706 | |
Rickie Hauer-beaghler, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Bldg. 340, Suite 302, Ventura, CA 93003 Phone: 805-652-6255 | |
Heidi Mcmahan, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5755 Valentine Rd Ste 201, Ventura, CA 93003 Phone: 805-665-3180 Fax: 805-256-6081 | |
Desiree Sehati Cooper, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 643 Via Cielito, Ventura, CA 93003 Phone: 805-850-8962 |