Active NPI
Mari Elaine Somerville, R.D.
- Registered Dietitian
- Oakland, CA
National Provider Identifier
1417169525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 968049
- Practice address
- 3012 Summit St
6TH Floor
Oakland, CA 94609-3480 - Phone
- (510) 893-2060
- NPI assigned
- May 3, 2007
- 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 | 968049 | CA | Primary |
Addresses
Primary practice location
3012 Summit St
6TH Floor
Oakland, CA 94609-3480
Mailing address
25 Lone Oak CT
Napa, CA 94558-5563
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 968049 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417169525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LONE OAK CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945585563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 SUMMIT ST",
"address_2": "6TH FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093480",
"telephone_number": "510-893-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "MARI",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "968049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
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.