| Berenise Gomez Vargas Gomez Vargas, | |
|
2740 Grant St, Concord, CA 94520-2265 | |
| (925) 674-4100 | |
| Not Available |
| Full Name | Berenise Gomez Vargas Gomez Vargas |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2740 Grant St, Concord, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376200311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | La Clinica De La Raza Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Berenise Gomez Vargas Gomez Vargas, 3200 Northwood Dr Apt 311, Concord, CA 94520-4503 Ph: (209) 761-4185 | Berenise Gomez Vargas Gomez Vargas, 2740 Grant St, Concord, CA 94520-2265 Ph: (925) 674-4100 |
Sandra Liddicoat, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1868 Clayton Rd, Suite 123, Concord, CA 94520 Phone: 925-586-3224 | |
Tszwing Ho, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1706 Gyger Ct, Concord, CA 94521 Phone: 415-359-5245 | |
Marlene Ceballo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 Stanwell Cir, Concord, CA 94520 Phone: 925-646-5145 | |
Ms. Marcia Yamashiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1868 Clayton Rd, Suite 220, Concord, CA 94520 Phone: 925-686-9316 | |
Mrs. Susanne Marie Howard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5466 Preston Ct, Concord, CA 94521 Phone: 925-408-2694 | |
John Canlas Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 2075 Diamond Blvd Ste H-210, Concord, CA 94520 Phone: 909-362-9434 | |
Mrs. Lynne Ann Trestrail, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 Stanwell Dr Ste C, Concord, CA 94520 Phone: 925-677-7492 |