Active NPI
Chih-Chii Amy Shiau, R.D.
- Renal Nutrition Registered Dietitian
- San Jose, CA
National Provider Identifier
1033442124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 724244
- Practice address
- 4563 Borina Dr
San Jose, CA 95129-2225 - Phone
- (408) 656-5906
- Fax
- (408) 517-5785
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 724244 | IL | Primary |
Addresses
Primary practice location
4563 Borina Dr
San Jose, CA 95129-2225
Mailing address
4563 Borina Dr
San Jose, CA 95129-2225
Phone (408) 656-5906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724244 | IL | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1033442124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4563 BORINA DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292225",
"telephone_number": "408-656-5906",
"fax_number": "408-517-5785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4563 BORINA DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292225",
"telephone_number": "408-656-5906",
"fax_number": "408-517-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIAU",
"first_name": "CHIH-CHII",
"middle_name": "AMY",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "724244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.