NUTRIVIVA.INC (NPI# 1962809939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962809939 |
| Entity Type | Organization |
| Organization Name | NUTRIVIVA.INC |
| Practice Address |
175 N Jackson Ave 209 San Jose CA 95116-1909 |
| Mailing Address |
37439 Joseph St Fremont CA 94536-4910 |
| Practice Telephone | 5109360991 |
| Mailing Telephone | 5105669937 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | MS. SHRADDHA PATEL (CONSULTING DIETITIAN) |
| Authorized Official Telephone | 5105669937 |
| Authorized Official Credential | MS, RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1053627 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066419 | Nutriviva.inc | Dietitian, Registered | 3535 Ross Ave, San Jose, CA 95124-3054 | 2018-06-06 |
| Street Address |
175 N JACKSON AVE 209 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373413 | Naresh K Kapoor | Pediatrics | 175 N Jackson Ave, Ste # 212, San Jose, CA 95116-1909 | 2005-08-11 |
| 1821545146 | Hoang M Nguyen Do Inc | Internal Medicine | 175 N Jackson Ave, Suite 210, San Jose, CA 95116-1909 | 2016-09-02 |
| 1144775198 | Hoang M Nguyen Do Inc | Internal Medicine | 175 N Jackson Ave, Ste 210, San Jose, CA 95116-1909 | 2016-08-19 |
| 1639622699 | Rehabone Medical Group, Inc. | Physical Medicine & Rehabilitation | 175 N Jackson Ave, Ste 109, San Jose, CA 95116-1909 | 2016-07-26 |
| 1962866541 | Sanjay & Archana Bindra, Mds Inc | Internal Medicine | 175 N Jackson Ave, San Jose, CA 95116-1909 | 2016-04-08 |
| 1124489653 | Cathy Resler | Specialist | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2016-03-10 |
| 1720448657 | Cancer and Blood Care of San Jose Inc | Clinic/Center | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2016-03-04 |
| 1235523119 | Jennifer Nani Glass | Dietitian, Registered | 175 N Jackson Ave, Suite #209, San Jose, CA 95116-1909 | 2015-03-27 |
| 1770905945 | Thinh Duy Mai M.d., A.p.c. | Psychiatry & Neurology | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2014-01-07 |
| 1497183602 | Jindal Neurology, Inc. | Psychiatry & Neurology | 175 N Jackson Ave, Suite 207, San Jose, CA 95116-1909 | 2013-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490691 | Tamara Nijmeh | Dietitian, Registered | 1150 S Bascom Ave Ste 26, San Jose, CA 95128-3509 | 2016-03-24 |
| 1043623168 | Jessica Paredes | Dietitian, Registered | 2211 Moorpark Ave Ste 218, San Jose, CA 95128-2629 | 2014-06-05 |
| 1396170684 | Bina Shah | Dietitian, Registered | 2211 Moorpark Ave Ste 218, San Jose, CA 95128-2629 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152270 | Nicole Freche | Dietitian, Registered | 210 S Palisade Dr Ste 200, Santa Maria, CA 93454-8900 | 2020-10-22 |
| 1861053134 | Diana C Andrew | Dietitian, Registered | 765 N Main St Ste 130, Corona, CA 92880-1440 | 2019-06-26 |
| 1245712272 | Monica M Lowe and Associates, LLC | Dietitian, Registered | 530 W Ojai Ave Ste 204, Ojai, CA 93023-2472 | 2018-09-06 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1457873465 | Carol Faye Kane | Dietitian, Registered | 2936 Robinson Creek Ln, Elk Grove, CA 95758-3620 | 2017-07-11 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1700320439 | Julie Feldman | Dietitian, Registered | 2824 May Ave, Redondo Beach, CA 90278-1533 | 2016-12-14 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1689029878 | Andrew Woodward | Dietitian, Registered | 8455 Lodgepole Ln, Riverside, CA 92508-7105 | 2016-04-26 |
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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.