Active NPI
Pamela Semiramis Cabrera-Milburn, RDN
- Registered Dietitian
- San Jose, CA
National Provider Identifier
1558218222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86058728
- Practice address
- 500 Tully Rd
San Jose, CA 95111-1917 - Phone
- (408) 957-8601
- Fax
- (408) 817-1409
- NPI assigned
- Mar 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86058728 | CA | |
| Registered Dietitian | 133V00000X | 86058728 | CA | Primary |
Addresses
Primary practice location
500 Tully Rd
San Jose, CA 95111-1917
Mailing address
500 Tully Rd
San Jose, CA 95111-1917
Phone (408) 957-8601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Pasadena, CA 91189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86058728 | CA | MD | Pediatric Nutrition Registered Dietitian |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1558218222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 TULLY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111917",
"telephone_number": "408-957-8601",
"fax_number": "408-817-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TULLY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111917",
"telephone_number": "408-957-8601",
"fax_number": "408-817-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA-MILBURN",
"first_name": "PAMELA",
"middle_name": "SEMIRAMIS",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "86058728",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86058728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.