Individual provider Active NPI

Amrita Jayagopal, RD, MA, CDE

  • Registered Dietitian
  • Oakland, CA
National Provider Identifier
1114248200
Registry record updated Jun 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
168 11TH St
Oakland, CA 94607-4841
Phone
(510) 419-0888
NPI assigned
Jun 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

168 11TH St
Oakland, CA 94607-4841

Mailing address

2383 N Main St
Unit 222
Walnut Creek, CA 94596-3549
Phone (925) 954-7213

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)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1114248200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 N MAIN ST",
            "address_2": "UNIT 222",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963549",
            "telephone_number": "925-954-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 11TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074841",
            "telephone_number": "510-419-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAGOPAL",
        "first_name": "AMRITA",
        "credential": "RD, MA, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.