MS. ANGELITA FAN


Address: 1650 Response Road, Sacramento, CA 95815
Phone: 9166144961

MS. ANGELITA FAN (NPI# 1831176585) 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) 1831176585
Entity Type Individual
Full Name MS. ANGELITA FAN
Credential RD, MS, CDE, BC-ADM
Practice Address 1650 Response Road
Sacramento
CA 95815
Practice Telephone 9166144961
Mailing Telephone 9166144961
Enumeration Date 2005-12-23
Last Update Date 2007-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
R329282 CA Dietary & Nutritional Service Providers

Office Location

Street Address 1650 RESPONSE ROAD
City SACRAMENTO
State CA
Zip Code 95815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568748622 Christina Thompson Roth Speech-Language Pathologist 1650 Response Road, Sacramento, CA 95815 2011-11-02
1225314511 Stephanie Shannon Burke Dietitian, Registered 1650 Response Road, Sacramento, CA 95815 2011-10-31
1639271893 Carolyn Leung Nurse Practitioner 1650 Response Road, Point West Medicine 2 Kaiser Permanente, Sacramento, CA 95815-4807 2006-09-01

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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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Competitor

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City SACRAMENTO
Zip Code 95815

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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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