Individual provider Active NPI

Dana C Wunderlich, RD

  • Registered Dietitian
  • Chico, CA
National Provider Identifier
1194363184
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86076549
Practice address
111 Raley Blvd Ste 100
Chico, CA 95928-8351
Phone
(530) 332-3986
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 86076549 Primary

Addresses

Primary practice location

111 Raley Blvd Ste 100
Chico, CA 95928-8351

Mailing address

781 Victorian Park Dr
Chico, CA 95926-7137
Phone (925) 813-2559

Other practice location 1

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Other practice location 2

265 Cohasset Rd Ste 150
Chico, CA 95926-2278
Phone (530) 332-4700

Other names 1

  • Miss Dana C Yu Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Specialty Physicians, Inc CurrentSince Feb 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Feb 1, 2020 Accepting new patients

Locations

265 Cohasset Rd
Ste 150
Chico, CA 95926
Phone (530) 332-4700

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1194363184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 VICTORIAN PARK DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267137",
            "telephone_number": "925-813-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD STE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-332-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263310",
            "country_code": "US",
            "telephone_number": "530-332-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Cohasset Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262278",
            "country_code": "US",
            "telephone_number": "530-332-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "DANA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86076549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "YU",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.