Individual provider Active NPI

Sahar Berjis, RD

  • Registered Dietitian
  • Walnut Creek, CA
National Provider Identifier
1306182258
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00928634 Issued in CA
Practice address
1399 Ygnacio Valley Rd
Suite 14
Walnut Creek, CA 94598-2884
Phone
(925) 566-4429
NPI assigned
Dec 21, 2012
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 00928634 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd
Suite 14
Walnut Creek, CA 94598-2884

Mailing address

110 La Casa Via
Ste 205
Walnut Creek, CA 94598-3017
Phone (925) 464-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000136 CA Practitioner - Registered Dietitian Or Nutrition Professional 2567609118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1399 Ygnacio Valley Rd
Suite 26
Walnut Creek, CA 94598-2873
Phone (925) 406-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00928634CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1306182258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LA CASA VIA",
            "address_2": "STE 205",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983017",
            "telephone_number": "925-464-3916",
            "fax_number": "925-954-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "SUITE 14",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-566-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERJIS",
        "first_name": "SAHAR",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "00928634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.