MRS. MARA DA LUZ BERNARDO RDN CSO NPI 1255904512

NPI Information

  • NPI: 1255904512
  • Provider Name: MRS. MARA DA LUZ BERNARDO, RDN, CSO
  • Classification: Dietitian, Registered - 133VN1301X
  • Specialization: Nutrition, Oncology
  • Entity Type: Individual
  • Address: 415 W BENJAMIN HOLT DR STE B3
    STOCKTON, CA
    ZIP 95207
  • Phone: (209) 227-0722

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NPI Details

MRS. Mara Da Luz Bernardo, RDN, CSO is a nutrition and oncology dietitian registered in Stockton, CA with 12 years of experience. The provider is an individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research. MRS. Mara Da Luz Bernardo, RDN, CSO NPI is 1255904512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 W BENJAMIN HOLT DR STE B3
STOCKTON, CA
ZIP 95207-958
Phone: (209) 227-0722
Fax: (866) 862-8832

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure for nutrition management, each 15 minutes (HCPCS:97802)

The enumeration date for this NPI number is 7/22/2021 and was last updated on 9/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered86033078CALIFORNIANo
2133VN1301XDietitian, RegisteredNutrition, Oncology86033078CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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