Roudabak Mahjoob, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1105835 Issued in CA

Practice address

2740 Herndon Ave
Clovis, CA 93611-6813

Phone

(559) 299-4264

Fax

(559) 299-1421

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1215354535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116813",
            "telephone_number": "559-299-4264",
            "fax_number": "559-299-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116813",
            "telephone_number": "559-299-4264",
            "fax_number": "559-299-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHJOOB",
        "first_name": "ROUDABAK",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1105835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizel Ken Magliba
• Judy Mae Mahaffey I
• Steven Mahan
• Golzaar Mahdavi
• Mantej Mahil, PHARMD
• Jessica Nichols Main, PHARMD
• Majmd Inc
• Joseph H Makhoul
• Constantine Michael Makredes, DPT
• Matthew Jeremy Malan, DDS

• Registered Dietitian in Clovis, CA
• Providers in Clovis, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.