Sara E Fenton, MS RD

Individual provider Active NPI Registered Dietitian · Sausalito, CA

NPI 1649401274 · NPPES record last updated May 12, 2026

Key facts

NPI
1649401274
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
920 (OR)
Practice address
546 Sausalito Blvd
Sausalito, CA 94965-2330
Phone
(917) 439-2503
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
920ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 920 OR Yes

Addresses

Primary practice location

546 Sausalito Blvd
Sausalito, CA 94965-2330

Mailing address

546 Sausalito Blvd
Sausalito, CA 94965-2330
Phone (917) 439-2503

Other providers in Sausalito, CA

All providers in Sausalito, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.