Individual provider Active NPI

Angela Stanford, R.D.

  • Registered Dietitian
  • Danville, CA
National Provider Identifier
1467735183
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
807339 Issued in CA
Practice address
9000 Crow Canyon Rd
Suite 320
Danville, CA 94506-1189
Phone
(925) 389-7107
Fax
(925) 736-1009
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 807339 CA Primary

Addresses

Primary practice location

9000 Crow Canyon Rd
Suite 320
Danville, CA 94506-1189

Mailing address

9000 Crow Canyon Rd
Suite 320
Danville, CA 94506-1189
Phone (925) 389-7107

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

LicenseStateTypeSpecialty
807339CAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1467735183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 CROW CANYON RD",
            "address_2": "SUITE 320",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061189",
            "telephone_number": "925-389-7107",
            "fax_number": "925-736-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 CROW CANYON RD",
            "address_2": "SUITE 320",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061189",
            "telephone_number": "925-389-7107",
            "fax_number": "925-736-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "ANGELA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "807339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.