Sandra Jean Cadra, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

534372 Issued in CA

Practice address

350 S Oak Ave
Oakdale, CA 95361-3519

Phone

(209) 848-7022

Fax

(209) 848-7014

NPI assigned

May 12, 2006

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sandra Jean Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1295785897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613519",
            "telephone_number": "209-848-7022",
            "fax_number": "209-848-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613519",
            "telephone_number": "209-848-7022",
            "fax_number": "209-848-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADRA",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "534372",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "534372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "HALL",
            "middle_name": "JEAN",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.