Geralyn Da Silva
Individual provider Active NPI Registered Dietitian · Jackson, CA
NPI 1306245774 · NPPES record last updated Aug 21, 2014
Key facts
- NPI
- 1306245774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 351468 (CA)
- Practice address
- 12140 New York Ranch Rd
Jackson, CA 95642-9407 - Phone
- (209) 257-2400
- Fax
- (209) 257-2403
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351468 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 351468 | CA | Yes |
Addresses
Primary practice location
12140 New York Ranch Rd
Jackson, CA 95642-9407
Mailing address
PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6240
Other providers in Jackson, CA
- Thomas Cowgill
- Erin Cox
- Wendy Cranford
- Dionisio Teeking Cruz
- Cynthia Caryn Custer-Coon
- Cailey Dante
- David L Dutra DPM Inc
- David M Melniczek MD Inc
- David R Bruce DO Inc
- Aushai De Vance
All providers in Jackson, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.