CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM NPI 1518407048

NPI Details

CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM is a dietitian registered in Stockton, CA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM NPI is 1518407048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

445 W WEBER AVE STE 128C
STOCKTON, CA
ZIP 95203-146
Phone: (209) 351-4735

The provider's authorized official is Allison Boyd .
The authorized official title is Owner and has the following contact phone number (209) 351-4735.

The enumeration date for this NPI number is 3/2/2017 and was last updated on 3/7/2017.

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: