Astrin P Damayanti, RD in Stockton, CA - Medicare Dietitian, Registered Provider

Astrin P Damayanti, RD is a medicare enrolled "Dietitian, Registered" provider in Stockton, California. Her current practice location is 10940 Trinity Pkwy Ste C305, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 715-5858.

Astrin P Damayanti is licensed to practice in * (Not Available) (license number 961513) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548422231.

Contact Information

	Astrin P Damayanti, RD
	10940 Trinity Pkwy Ste C305, Stockton, CA 95219-7234
	(209) 715-5858
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Astrin P Damayanti
Gender	Female
Speciality	Dietitian, Registered
Location	10940 Trinity Pkwy Ste C305, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548422231
Provider Enumeration Date: 06/25/2008
Last Update Date: 04/12/2021

Medicare PECOS Information:

PECOS PAC ID: 5496813586
Enrollment ID: I20081017000542

Medical Identifiers

Medical identifiers for Astrin P Damayanti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548422231	NPI	-	NPPES
961513	Other		COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	961513 (* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Astrin P Damayanti is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Astrin P Damayanti, RD 10940 Trinity Pkwy Ste C305, Stockton, CA 95219-7234 Ph: (209) 715-5858	Astrin P Damayanti, RD 10940 Trinity Pkwy Ste C305, Stockton, CA 95219-7234 Ph: (209) 715-5858

Reviews and Comments

Dietitian, Registered in Stockton, CA

Miss Rosario Aguirre, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5186 Fax: 209-476-3144
Ronli Levi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-5356
Christina Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 408-314-4600
Vanessa Aldana Romo, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 425 N California St Ste 7, Stockton, CA 95202 Phone: 209-870-5000
Mrs. Johnna Coppock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6356
Yesenia Cihuacoatl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 N California St, Suite 2g, Stockton, CA 95204 Phone: 209-461-5268 Fax: 209-461-5395
Ms. Sandra Joy Sadahiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5419

Astrin P Damayanti, RD - Medicare Dietitian in Stockton, CA