Taisiya Kupriyanova, RD, CDCES, CSOWM in San Jose, CA - Medicare Dietitian, Registered Provider

Taisiya Kupriyanova, RD, CDCES, CSOWM is a medicare enrolled "Dietitian, Registered" provider in San Jose, California. Her current practice location is 2577 Samaritan Dr, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 871-3400.

Taisiya Kupriyanova is licensed to practice in California (license number 1049822) 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 1669731030.

Contact Information

	Taisiya Kupriyanova, RD, CDCES, CSOWM
	2577 Samaritan Dr, San Jose, CA 95124-4100
	(408) 871-3400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taisiya Kupriyanova
Gender	Female
Speciality	Dietitian, Registered
Location	2577 Samaritan Dr, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669731030
Provider Enumeration Date: 05/04/2012
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8325276843
Enrollment ID: I20140108000954

Medical Identifiers

Medical identifiers for Taisiya Kupriyanova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669731030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1049822 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taisiya Kupriyanova allows following entities to bill medicare on her behalf.

Provider Name	Verity Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326312067 PECOS PAC ID: 7416119110 Enrollment ID: O20120425000408

Provider Name	Silicon Valley Medical Development Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617

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. Taisiya Kupriyanova 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
Taisiya Kupriyanova, RD, CDCES, CSOWM 2577 Samaritan Dr, San Jose, CA 95124-4100 Ph: (408) 871-3400	Taisiya Kupriyanova, RD, CDCES, CSOWM 2577 Samaritan Dr, San Jose, CA 95124-4100 Ph: (408) 871-3400

Reviews and Comments

Dietitian, Registered in San Jose, CA

Harramanjoyt Hans-brar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-559-2501
Pinar Robles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 S Winchester Blvd Unit 262, San Jose, CA 95128 Phone: 831-726-6244
Heidi Lidtke, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Parkmoor Ave Ste 230, San Jose, CA 95126 Phone: 408-961-9850
Guadalupe Celallos Sanchez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1066 S White Rd, San Jose, CA 95127 Phone: 510-770-8141
Ms. Chih-chii Amy Shiau, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4563 Borina Dr, San Jose, CA 95129 Phone: 408-656-5906 Fax: 408-517-5785
Katherin Marie Guevara Ocampo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5531 Blossom Gardens Cir # 5531, San Jose, CA 95123 Phone: 510-375-7545
Sajida Abbas Arsiwala, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 499 Mccamish Ave, San Jose, CA 95123 Phone: 408-338-9501

Taisiya Kupriyanova, RD, CDCES, CSOWM - Medicare Dietitian in San Jose, CA