Active NPI
Manny Brazil, RD
- Registered Dietitian
- Vacaville, CA
National Provider Identifier
1669082079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86131716
- Practice address
- 233 Juneau Dr
Vacaville, CA 95687-7893 - Phone
- (707) 514-5418
- NPI assigned
- Aug 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 86131716 | CA | Primary |
Addresses
Primary practice location
233 Juneau Dr
Vacaville, CA 95687-7893
Mailing address
233 Juneau Dr
Vacaville, CA 95687-7893
Phone (707) 514-5418
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86131716 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596240000000",
"number": "1669082079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 JUNEAU DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877893",
"telephone_number": "707-514-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 JUNEAU DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877893",
"telephone_number": "707-514-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIL",
"first_name": "MANNY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-01",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86131716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
- Bradley J Sandler MD Inc (Solano Eye Specialists)
- Marina M Bradley, ARNP
- Rodriana Branch, MASSAGE THERAPIST
- Cindy V Bray, PPS
- Tyler Brazelton
- Breakaway Child and Family Therapy, PC (Breakaway Psychotherapy)
- Breakthrough Counseling
- Naomi Beth Brewer, ATR-BC
- Bridging Connections Family Counseling Inc
- Britney Marie Camacho Brillantes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.