MARY LORETTA DAVILA (NPI# 1417309170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417309170 |
| Entity Type | Individual |
| Full Name | MARY LORETTA DAVILA |
| Credential | R.D. IBCLC |
| Practice Address |
2710 Middlefield Rd Redwood City CA 94063-3404 |
| Practice Telephone | 6505787141 |
| Practice Fax Number | 6502986881 |
| Mailing Telephone | 6505787141 |
| Mailing Fax Number | 6502986881 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 853097 | CA | Dietary & Nutritional Service Providers |
| N | 174N00000X | Lactation Consultant, Non-RN | L-19656 | Other Service Providers |
| Street Address |
2710 MIDDLEFIELD RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529073 | County of San Mateo | Clinic/Center | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2006-06-23 |
| 1376951558 | Gabriela Valencia | Nurse Practitioner | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2014-07-31 |
| 1023420742 | Simone Heron-carmignani | Psychologist | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2014-05-29 |
| 1497190763 | Vanessa Langston Breen | Registered Nurse | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2013-05-01 |
| 1437401031 | Mary Grace Leong | Dietitian, Registered | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2012-10-05 |
| 1699090894 | Marissa Aillaud | Student in an Organized Health Care Education/Training Program | 2710 Middlefield Rd, 3rd Floor, Pediatrics, Redwood City, CA 94063-3404 | 2010-03-30 |
| 1679805089 | Trupti Nangare | Family Medicine | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2010-02-10 |
| 1184878258 | Gizella Sheila Laksana | Pediatrics | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2008-11-15 |
| 1568620318 | San Mateo Medical Center | General Acute Care Hospital | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2008-05-29 |
| 1659538494 | Ana Elizabeth Miranda Maldonado | Internal Medicine | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653520 | Katherine Anne Cox | Dietitian, Registered | 2845 Brewster Ave, Redwood City, CA 94062-2830 | 2020-06-11 |
| 1801246384 | Ankita Tandel | Dietitian, Registered | 4 Buccaneer Ln, Redwood City, CA 94065-8441 | 2016-06-15 |
| 1871748392 | Cindy Stack-keer | Dietitian, Registered | 900 Veterans Blvd Ste 200, Redwood City, CA 94063-1740 | 2008-11-25 |
| 1164944880 | Celia Curran Suber | Dietitian, Registered | 1100 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-07-13 |
| 1326494899 | Samantha Finkelstein | Dietitian, Registered | 1400 Veterans Blvd, Redwood City, CA 94063-2612 | 2016-05-13 |
| 1356689061 | Jason Mousel | Dietitian, Registered | 165 Arch St, Redwood City, CA 94062-1303 | 2013-01-30 |
| 1437401031 | Mary Grace Leong | Dietitian, Registered | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2012-10-05 |
| 1417223488 | Jennie C Quon | Dietitian, Registered | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2012-03-23 |
| 1982994646 | Anne Kolker | Dietitian, Registered | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2011-04-15 |
| 1063661122 | Scott Bryan Cahn | Dietitian, Registered | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2008-09-14 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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| 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.