Active NPI
Christina Dolores Bode, RD, CDE
- Registered Dietitian
- Danville, CA
National Provider Identifier
1356428676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 845360
- Practice address
- 1865 N Forest Hill PL
Danville, CA 94526-5611 - Phone
- (925) 820-1087
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 845360 | Primary |
Addresses
Primary practice location
1865 N Forest Hill PL
Danville, CA 94526-5611
Mailing address
1865 N Forest Hill PL
Danville, CA 94526-5611
Phone (925) 820-1087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0992-0213 | Other | NCBDE CERTIFICATE NUMBER | |
| 845360 | Other | CDR REGISTRATION ID NUMBE |
Other names 1
- Ms. Christina Dolores Fassiotto
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356428676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 N FOREST HILL PL",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945265611",
"telephone_number": "925-820-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 N FOREST HILL PL",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945265611",
"telephone_number": "925-820-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODE",
"first_name": "CHRISTINA",
"middle_name": "DOLORES",
"name_prefix": "Ms.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "845360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBDE CERTIFICATE NUMBER",
"identifier": "0992-0213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION ID NUMBE",
"identifier": "845360",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "FASSIOTTO",
"middle_name": "DOLORES",
"prefix": "MS.",
"credential": "RD, CDE",
"code": "1",
"type": "Former Name"
}
]
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- Allen Boghossian, D.O.
- Frank Elizarde Bongolan Jr., DC
- Keith Bonnes, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.