Veena M Koda, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86096084 Issued in OR

Practice address

1100 San Leandro Blvd
San Leandro, CA 94577-1595

Phone

(213) 477-3709

NPI assigned

Mar 29, 2020

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

• Veena M Koda 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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1427686211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771595",
            "telephone_number": "213-477-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODA",
        "first_name": "VEENA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "86096084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEENA",
            "last_name": "KODA",
            "middle_name": "M",
            "credential": "MPH, RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nathaniel Knoll, PMHNP - BC
• Kirby Knox, M.D.
• Nicolas Kent Knudsen, MFT
• Janet Youngeun Ko, O.D.
• Theodore K Ko
• Aruna Koduri, M.D.
• Alexander A Kogan, DDS
• Katrina Kohlsdorf
• Carolyn Kong, PHARM.D.
• Clorinda Beta Kong, D.D.S.

• Registered Dietitian in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.