SAHRA K. PAK (NPI# 1669082897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669082897 |
| Entity Type | Individual |
| Full Name | SAHRA K. PAK |
| Practice Address |
101 Bodin Cir Fairfield CA 94535-1809 |
| Mailing Address |
2550 Hilborn Rd Apt 272 Fairfield CA 94534-8608 |
| Practice Telephone | 9493708584 |
| Mailing Telephone | 9493708584 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| 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 |
101 BODIN CIR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504093 | Dallas Mcwilliams | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-10-02 |
| 1164031407 | Abigail Greenwell | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-22 |
| 1851919468 | Derek P Brady | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-09 |
| 1588282396 | Jacob Blotter | Counselor | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-08 |
| 1154947679 | Daniel Warren Cline | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-06-20 |
| 1477174654 | Robert Dillon Hill | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-04-29 |
| 1124653878 | Hana L Ha | Pharmacist | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-03 |
| 1972137644 | Audrey Nicole Imperial | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-02 |
| 1366074163 | Christian Heinrich Kniep | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-02-10 |
| 1457983751 | Jeffery Michael Lerma | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1174151443 | Victoria Dibiasi | Dietitian, Registered | 79 Renchy St, Fairfield, CT 06824-4129 | 2020-03-31 |
| 1649710898 | Mary (trudi) Gertrude Stringer | Dietitian, Registered | 3193 Cherry Valley Cir, Fairfield, CA 94534-7511 | 2017-03-06 |
| 1649647447 | Lucie Ashton | Dietitian, Registered | 5431 Dellbrook Dr, Fairfield, OH 45014-3322 | 2015-08-27 |
| 1386033363 | Aikaterina Galeos | Dietitian, Registered | 16 Long Acres Rd, Fairfield, NJ 07004-1217 | 2015-01-14 |
| 1578870804 | Sherri Frey Ludwig | Dietitian, Registered | 710 Adagio Dr, Fairfield, CA 94534-4112 | 2010-09-08 |
| 1952531964 | Antoinette F Aniton | Dietitian, Registered | 580 Villa Ave, #110, Fairfield, CT 06825-1973 | 2009-07-24 |
| 1306055710 | Sue Ann Carnahan | Dietitian, Registered | 410 Nw 10th St, Fairfield, IL 62837-1242 | 2007-05-22 |
| 1427110618 | Cynthia J Symons | Dietitian, Registered | 601 Taylor St, Fairfield, CA 94533-6115 | 2006-12-14 |
| 1487722427 | Elaine Kuznar | Dietitian, Registered | Mercy Hospital, 3000 Mack Road--diabetes Education, Fairfield, OH 45014 | 2006-11-30 |
| 1205875762 | Nancy A Murphy | Dietitian, Registered | 34 Smith St, Fairfield, CT 06824-6637 | 2006-06-06 |
| Find all providers in FAIRFIELD | ||||
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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.