Buck August, MS, RDN

Individual provider Active NPI Registered Dietitian · Paradise, CA

NPI 1043798655 · NPPES record last updated Aug 6, 2018

Key facts

NPI
1043798655
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
952097 (CA)
Practice address
5734 Canyon View Dr
Paradise, CA 95969-5503
Phone
(530) 876-7179
Fax
(530) 876-7169
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
952097CAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 952097 CA Yes

Addresses

Primary practice location

5734 Canyon View Dr
Paradise, CA 95969-5503

Mailing address

5734 Canyon View Dr
Paradise, CA 95969-5503
Phone (530) 876-7179

Other providers in Paradise, CA

All providers in Paradise, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.