Mrs Alice Dale Waterbury Fagundes, MS, RDN - Dietitian in San Jose, CA

Mrs Alice Dale Waterbury Fagundes, MS, RDN is a Dietitian, Registered based in San Jose, California. Mrs Alice Dale Waterbury Fagundes is licensed to practice in California (license number 970752) and her current practice location is 175 N Jackson Ave, Suite 209, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 568-4181.

NPI number for Mrs Alice Dale Waterbury Fagundes is 1437482932 and her current mailing address is 175 N Jackson Ave, Suite 209, San Jose, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437482932.

Contact Information

Mrs Alice Dale Waterbury Fagundes, MS, RDN
175 N Jackson Ave, Suite 209,
San Jose, CA 95116-1909
(408) 568-4181
(408) 516-9042

Map and Direction




Healthcare Provider's Profile

Full NameMrs Alice Dale Waterbury Fagundes
GenderFemale
SpecialityDietitian, Registered
Location175 N Jackson Ave, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437482932
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 09/09/2013

Medical Identifiers

Medical identifiers for Mrs Alice Dale Waterbury Fagundes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437482932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 970752 (California)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. Mrs Alice Dale Waterbury Fagundes is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Alice Dale Waterbury Fagundes, MS, RDN
175 N Jackson Ave, Suite 209,
San Jose, CA 95116-1909

Ph: (408) 568-4181
Mrs Alice Dale Waterbury Fagundes, MS, RDN
175 N Jackson Ave, Suite 209,
San Jose, CA 95116-1909

Ph: (408) 568-4181

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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