Tracie Chavoor, MS, RDN
Individual provider Active NPI Registered Dietitian · Santa Margarita, CA
NPI 1619656121 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1619656121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 22673 F St
Santa Margarita, CA 93453-0740 - Phone
- (559) 304-0731
- NPI assigned
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
295 Posada LN
Suite 3
Templeton, CA 93465-4055
Phone (805) 434-1166
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231020001711 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 8224484621 | Practice locations: Templeton, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
22673 F St
Santa Margarita, CA 93453-0740
Mailing address
PO Box 740
Santa Margarita, CA 93453-0740
Other providers in Santa Margarita, CA
- Central Coast Non-Emergency Transportation Inc.
- Healing House Calls, Inc.
- Manzanita Midwifery
- Jennifer Oquendo
- Kerry Schmidt
- Harry Wilson III
All providers in Santa Margarita, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.