Individual provider Active NPI

Cami Mandell Gorden, RDN, CDE

  • Registered Dietitian
  • Oakland, CA
National Provider Identifier
1285148825
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1092669
Practice address
2835 Helen St
Oakland, CA 94608-4025
Phone
(510) 423-3039
NPI assigned
Nov 17, 2017
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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 1092669 Primary

Addresses

Primary practice location

2835 Helen St
Oakland, CA 94608-4025

Mailing address

2835 Helen St
Oakland, CA 94608-4025
Phone (510) 423-3039

Other practice location 1

2751 Napa Valley Corporate Dr
Napa, CA 94558-6216
Phone (707) 253-4853

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

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1285148825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 HELEN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084025",
            "telephone_number": "510-423-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HELEN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084025",
            "telephone_number": "510-423-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Napa Valley Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586216",
            "country_code": "US",
            "telephone_number": "707-253-4853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDELL GORDEN",
        "first_name": "CAMI",
        "credential": "RDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1092669",
            "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 Jul 26, 2019; 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.