MR. JOHN LARRY ROBERTS (NPI# 1972870731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972870731 |
| Entity Type | Individual |
| Full Name | MR. JOHN LARRY ROBERTS |
| Credential | R.D. |
| Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
| Mailing Address |
2518 River Cove Dr Riverbank CA 95367-3332 |
| Practice Telephone | 2097355086 |
| Mailing Telephone | 7074974659 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2013-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 505769 | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619498490 | John Herman Roberts Jr. | Family Medicine | 1111 Gallaher Dr., Sherman, TX 75090 | 2017-06-30 |
| 1609158559 | John Charles Roberts Jr. | Specialist/Technologist | 1000 Vermillion St, Concord University, Athens, WV 24712-9027 | 2011-09-16 |
| 1568774842 | John L Roberts | Counselor | 3800 N Classen Blvd, Suite C110, Oklahoma City, OK 73118-2862 | 2010-07-02 |
| 1336342054 | John Lloyd Roberts | Counselor | 2326 Highland Ave S, Ste 201, Birmingham, AL 35205-2912 | 2007-06-08 |
| 1487876934 | John Steven Roberts | Specialist | 2400 Fm 32, San Marcos, TX 78666-1746 | 2007-05-03 |
| 1376766881 | John K Roberts | Psychologist | 5776 Stoneridge Mall Road, Suite 346, Pleasanton, CA 94588 | 2007-04-11 |
| 1285799395 | John Randall Roberts | Dentist | 724 N Grand Ave, Connersville, IN 47331-2015 | 2006-12-27 |
| 1013077924 | John Lucas Roberts IIi | Acupuncturist | 134 W 26th St Fl 2, New York, NY 10001-6803 | 2006-12-11 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1023103561 | John Charles Roberts | Dentist | 256 Martin St., Twin Falls, ID 83301 | 2006-10-03 |
| Street Address |
4601 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| 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 |
|---|---|---|---|---|
| 1780297523 | Claire Ruth Coffrin-st. Julien | Dietitian, Registered | 1400 Florida Ave Ste 111, Modesto, CA 95350-4444 | 2020-08-30 |
| 1023669553 | Jessica Yang | Dietitian, Registered | 3707 Hammett Rd, Modesto, CA 95358-9721 | 2019-09-25 |
| 1841618261 | Bonnie Beardsley | Dietitian, Registered | 1616 Albany Ave, Modesto, CA 95350-4012 | 2014-04-02 |
| 1659435402 | Bryn Elizabeth Miller | Dietitian, Registered | 3800 Dale Road, Health Education, Modesto, CA 95356 | 2006-12-19 |
| 1477616464 | Sally Marie Gerling | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350 | 2006-12-19 |
| 1497385793 | Gerling Consulting, Inc | Dietitian, Registered | 1122 Stoddard Ave, Modesto, CA 95350-5818 | 2020-01-25 |
| 1467095729 | Katie Ann Ott | Dietitian, Registered | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2019-10-18 |
| 1982129201 | Arun Chowdhary | Dietitian, Registered | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-08-08 |
| 1255799136 | Laura Denise Johnson | Dietitian, Registered | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2016-02-05 |
| 1518343649 | Karenjit Johal | Dietitian, Registered | 730 17th St, Modesto, CA 95354-1209 | 2015-07-30 |
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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.