MISS SANGEETHA MATHIVANAN (NPI# 1487851796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487851796 |
| Entity Type | Individual |
| Full Name | MISS SANGEETHA MATHIVANAN |
| Credential | MS,RD |
| Practice Address |
1440 168th Ave San Leandro CA 94578-2409 |
| Practice Telephone | 5104816319 |
| Mailing Telephone | 5104816319 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1440 168TH AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770657561 | Kaiser Foundation Hospitals | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2006-11-20 |
| 1588186167 | Rita Marie Hess | Registered Nurse | 1440 168th Ave, San Leandro, CA 94578 | 2017-07-14 |
| 1801251210 | Joseph Harrison | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-12-30 |
| 1316318868 | Phuoc Ngo | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-10-09 |
| 1255616280 | Kaiser | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2011-10-21 |
| 1326221276 | Angela Tsang | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-12-14 |
| 1740461433 | Suzan Almeida | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-11-21 |
| 1063613891 | Casey Erik Boomer | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-30 |
| 1164633301 | Carolyn Joyce Douglas | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-26 |
| 1588872063 | Alisha Blau Braun | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1932712460 | Xiaoyi Wu | Dietitian, Registered | 900 143rd Ave Apt 254, San Leandro, CA 94578-3352 | 2020-08-25 |
| 1548871809 | Wing Ki Leung | Dietitian, Registered | 1352 Gilmore Dr, San Leandro, CA 94577-2400 | 2020-08-11 |
| 1205454907 | John Lew | Dietitian, Registered | 755 Hollyhock Dr, San Leandro, CA 94578-3818 | 2020-07-08 |
| 1649758798 | Yanming Jiang | Dietitian, Registered | 820 Manor Blvd, San Leandro, CA 94579-1728 | 2018-08-01 |
| 1952545170 | Ritva H Laine | Dietitian, Registered | 15235 Central Ave, San Leandro, CA 94578-3930 | 2009-05-01 |
| 1568512804 | Prabha Tadiboyana | Dietitian, Registered | 1440 168th Avenue, Kaiser Post Acute Care Center, San Leandro, CA 94578 | 2007-01-11 |
| 1093801649 | Mary Elizabeth Debusman | Dietitian, Registered | 1000 San Leandro Blvd, San Leandro, CA 94577-1598 | 2006-10-04 |
| 1134613102 | Jasmeen Banwait | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2018-06-21 |
| 1063954238 | Megan Moore | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577 | 2016-11-04 |
| 1669825758 | Olivia Chang | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2016-07-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.