Bernardo Abelino Ortega, RD | |
200 Hospital Dr, Vallejo, CA 94589-2517 | |
(707) 641-1900 | |
(707) 641-1992 |
Full Name | Bernardo Abelino Ortega |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 200 Hospital Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689287534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86175473 (California) | Primary |
Provider Name | La Clinica De La Raza Inc |
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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 |
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Bernardo Abelino Ortega, RD Po Box 22210, Oakland, CA 94623-2210 Ph: (510) 535-4000 | Bernardo Abelino Ortega, RD 200 Hospital Dr, Vallejo, CA 94589-2517 Ph: (707) 641-1900 |
Ms. Catherine Marie Cornwall, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2167 | |
Ms. Dana M. Scruggs, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 Cadloni Ln, Apartment G, Vallejo, CA 94591 Phone: 901-563-7501 | |
Ashley Kish, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 192 Leeward Ct, Vallejo, CA 94591 Phone: 219-771-4354 | |
Lauren Williams, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 149 Larsen Cir, Vallejo, CA 94589 Phone: 530-748-7024 | |
Josef Gammad, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Miss Lizette Mendoza, RD Dietitian Medicare: Medicare Enrolled Practice Location: 220 Hospital Dr, Vallejo, CA 94589 Phone: 707-551-1806 | |
Lisa Trottier, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2772 Fax: 707-651-4357 |