Active NPI
Rida Wali, MS, RD
- Registered Dietitian
- Dublin, CA
National Provider Identifier
1306472089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1107593
- Practice address
- 4635 Avery CT
Dublin, CA 94568-4349 - Phone
- (925) 918-1739
- NPI assigned
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1107593 | CA | Primary |
Addresses
Primary practice location
4635 Avery CT
Dublin, CA 94568-4349
Mailing address
4635 Avery CT
Dublin, CA 94568-4349
Phone (925) 918-1739
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1107593 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1306472089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 AVERY CT",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684349",
"telephone_number": "925-918-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 AVERY CT",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684349",
"telephone_number": "925-918-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALI",
"first_name": "RIDA",
"name_prefix": "Ms.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1107593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.