MS. MICHELE RENE VIVAS


Address: 5665 College Avenue, Suite 220 B, Oakland, CA 94602
Phone: 5105959474

MS. MICHELE RENE VIVAS (NPI# 1942448139) 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) 1942448139
Entity Type Individual
Full Name MS. MICHELE RENE VIVAS
Credential M.S., R.D.
Practice Address 5665 College Avenue
Suite 220 B
Oakland
CA 94602
Mailing Address 3510 Rubin Drive
Oakland
CA 94602
Practice Telephone 5105959474
Practice Fax Number 5105959470
Mailing Telephone 5105959474
Mailing Fax Number 5105959470
Enumeration Date 2009-01-27
Last Update Date 2009-01-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 717019 IL Dietary & Nutritional Service Providers

Office Location

Street Address 5665 COLLEGE AVENUE
SUITE 220 B
City OAKLAND
State CA
Zip Code 94602

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1376151845 Nicholas Collins Pac Lac Inc Acupuncturist 3433 Brunell Dr, Oakland, CA 94602 2020-07-21
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1750844585 Kirea J Mazzolini Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-09
1912478587 Joie Mazor Chiropractor 3201 Macarthur Blvd., Oakland, CA 94602 2018-12-07
1114424884 Jesse Santos Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2018-04-10
1679078646 Tia Vang Student in an Organized Health Care Education/Training Program 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 2018-03-29
1942704101 Michael Mian Student in an Organized Health Care Education/Training Program 1411 E 31st St, Qic 22123, Oakland, CA 94602 2018-03-22
1063916575 Charisma Kaushik Student in an Organized Health Care Education/Training Program 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2018-03-20
1841711363 David Christopher Carroll Pharmacist 1411 E. 31st Street, Oakland, CA 94602 2017-07-06
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932712098 Tiffany Xu Dietitian, Registered 600 William St Apt 416, Oakland, CA 94612-5411 2020-08-28
1184255903 Susan Leung Dietitian, Registered 3012 Summit St Ste 2615, Oakland, CA 94609-3480 2020-01-30
1861031817 Kate Alexa Schlag Dietitian, Registered 5867 Ocean View Dr, Oakland, CA 94618-1534 2019-12-21
1598307001 Rebecca Thieneman Dietitian, Registered 663 43rd St, Oakland, CA 94609-1839 2019-10-16
1649825019 Marianna Tong Dietitian, Registered 3600 Broadway # G, Oakland, CA 94611-5730 2019-08-02
1285133041 Ruth Chisholm Dietitian, Registered 251 North Fourth Street, Oakland, MD 21550 2018-02-07
1285148825 Cami Mandell Gorden Dietitian, Registered 2835 Helen St, Oakland, CA 94608-4025 2017-11-17
1063950673 Jamie Foley Dietitian, Registered 2715 Ivy Dr, Oakland, CA 94606-2137 2017-02-02
1922460294 Lindsay Marie Orbeta Dietitian, Registered 330 13th St, Suite 304, Oakland, CA 94612-3954 2016-03-24
1922466507 Jaylene Tang Dietitian, Registered 3275 Hyde St, Oakland, CA 94601-2610 2016-02-10
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Competitor

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City OAKLAND
Zip Code 94602

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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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