Vida Goudarzi, RD REGISTERED DIETIT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

957130 Issued in CA

Practice address

76 Oak Grove Ave
Los Gatos, CA 95030-7049

Phone

(408) 205-8887

NPI assigned

Feb 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1295860716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OAK GROVE AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307049",
            "telephone_number": "408-205-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 OAK GROVE AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307049",
            "telephone_number": "408-205-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDARZI",
        "first_name": "VIDA",
        "credential": "RD REGISTERED DIETIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "957130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon L Levin Medical Corp
• Gordon Wong MD
• Perry Gordon, DPT
• Sharon M Gordon, PT
• Wendy Lee Gorelick, LMFT
• Michelle Gough, RN, MSN, FNP-C
• Melissa Burnidge Gould, LPCC
• Robert Samuel Gould, MD
• Sanam Govari, DPT
• Jessica Goza, NP

• Registered Dietitian in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.