Active NPI
Tracy L Taylor, RD CDE
- Registered Dietitian
- Alameda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2433 Central Ave
Ste a
Alameda, CA 94501-4564 - Phone
- (510) 521-2300
- Fax
- (510) 974-8322
- NPI assigned
- Sep 23, 2006
- Last updated
- Apr 4, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
2433 Central Ave
Ste a
Alameda, CA 94501-4564
Mailing address
815 Marin Rd
El Sobrante, CA 94803-1321
Phone (510) 334-5097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109001200 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 5991990533 | Practice locations: El Sobrante, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7999 Gateway Blvd
Suite 200
Newark, CA 94560-1144
815 Marin Rd
El Sobrante, CA 94803-1321
Phone (510) 334-5097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Current | Accepting new patients |
Locations
2433 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 521-2300
1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000
4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060
100A San Pablo Towne Ctr
San Pablo, CA 94806
Phone (510) 237-2802
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1508966284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 MARIN RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948031321",
"telephone_number": "510-334-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2433 CENTRAL AVE",
"address_2": "STE A",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014564",
"telephone_number": "510-521-2300",
"fax_number": "510-974-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TRACY",
"middle_name": "L",
"credential": "RD CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.