IVONNE DIAZ DE HULL


Address: 488 Delridge Dr, San Jose, CA 95111-1702
Phone: 4086561202

IVONNE DIAZ DE HULL (NPI# 1053821140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053821140
Entity Type Individual
Full Name IVONNE DIAZ DE HULL
Credential RDN
Practice Address 488 Delridge Dr
San Jose
CA 95111-1702
Practice Telephone 4086561202
Mailing Telephone 4086561202
Enumeration Date 2017-10-03
Last Update Date 2017-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86078569 CA Dietary & Nutritional Service Providers

Office Location

Street Address 488 DELRIDGE DR
City SAN JOSE
State CA
Zip Code 95111-1702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134667413 Aldo Hernandez Community Health Worker 488 Skyway Dr, San Jose, CA 95111 2017-02-07
1518217017 Jean Jennifer J Soliven Registered Nurse 614 Tully Rd., San Jose, CA 95111 2012-09-12
1679894604 Julie Chi Counselor 581 Coyote Road, San Jose, CA 95111 2010-06-14
1720278179 Mv Transportation Non-emergency Medical Transport (VAN) 555 Tully Road, Mv Transportation, San Jose, CA 95111 2007-07-31
1437355948 Anthony Cozzolino Psychiatry & Neurology 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 2007-06-22
1750403515 Karen Pham Dentist 4074 Monterey Road, San Jose, CA 95111 2007-04-04
1376697847 Mai Anh Le Dentist 60 Senter Rd, San Jose, CA 95111 2007-01-22
1649335852 Bui and Enriquez Dental Corporation Dentist 485 Lewis Rd, Suite A, San Jose, CA 95111 2006-12-27
1619031903 Huyen Thu Nguyen Pharmacist 796 Apple Terrace, San Jose, CA 95111 2006-12-20
1285720342 Lily Khanh-linh Thi Nguyen Obstetrics & Gynecology 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 2006-10-05
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

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1881215549 Allen Twu Dietitian, Registered 3195 Mabury Rd, San Jose, CA 95127-1020 2020-05-04
1114570876 Katherine Berger Dietitian, Registered 791 Delaware Ave Apt 2, San Jose, CA 95123-5425 2019-07-22
1982164786 Elizabeth Ann Ruvalcaba Dietitian, Registered 3110 Rubino Dr Apt 210, San Jose, CA 95125-6375 2019-03-20
1801353693 Mary B Hall Dietitian, Registered 507 Brooks Ave, San Jose, CA 95125-1620 2019-02-27
1215406327 Angela Hays Dietitian, Registered 1843 Comstock Ln, San Jose, CA 95124-1707 2018-11-19
1851871073 Ruben Jordan Vargas IIi Dietitian, Registered 602 E Santa Clara St Ste 130, San Jose, CA 95112-1910 2018-08-16
1073009502 Huong Lien Nguyen Dietitian, Registered 1023 Bellingham Dr, San Jose, CA 95121-2311 2018-07-09
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Competitor

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City SAN JOSE
Zip Code 95111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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