Mary Beth Gabbard

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

716771 Issued in IL

Practice address

975 Sereno Dr
Vallejo, CA 94589-2441

Phone

(707) 651-1838

Fax

(877) 711-7930

NPI assigned

Sep 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Gabbard Professional name

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1346799558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MARBELLA LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882128",
            "telephone_number": "707-685-7615",
            "fax_number": "707-685-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1838",
            "fax_number": "877-711-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "716771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GABBARD",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zealeuste Fuentesfina
• Rebecca Fullarton, PHARM.D.
• G Samuel S Chua MD, a Professional Medical Corporation
• Rebecca J Gaba, PH.D., LMFT
• Johanna Gabbard, P.T.
• Loretta Gaddies
• Radzewill Gagalang, DPT
• Patricia Ellen Gahagan, RN PNP
• Vincent Edward Gaines
• Craig S Gainza, D.D.S., M.S.D.

• Registered Dietitian in Vallejo, CA
• Providers in Vallejo, 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 28, 2016; 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.