Mrs Mara Da Luz Bernardo, RDN, CSO | |
415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 | |
(209) 227-0722 | |
(866) 862-8832 |
Full Name | Mrs Mara Da Luz Bernardo |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 10 Years |
Location | 415 W Benjamin Holt Dr Ste B3, Stockton, California |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255904512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86033078 (California) | Secondary |
133VN1301X | Dietitian, Registered - Nutrition, Oncology | 86033078 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Registered Dietitian Network | 8426449281 | 3 |
Provider Name | Valley Registered Dietitian Network |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831855311 PECOS PAC ID: 8426449281 Enrollment ID: O20220105001437 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mara Da Luz Bernardo, RDN, CSO 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 Ph: (209) 227-0722 | Mrs Mara Da Luz Bernardo, RDN, CSO 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 Ph: (209) 227-0722 |
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 |