Active NPI
Nutriviva Inc
- Registered Dietitian
- San Jose, CA
National Provider Identifier
1679066419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1053627
- Legal business name
- NUTRIVIVA INC
- Doing business as
- Nutriviva.Inc
- Practice address
- 3535 Ross Ave
San Jose, CA 95124-3054 - Phone
- (408) 212-7877
- Fax
- (408) 212-7882
- NPI assigned
- Jun 6, 2018
- Last updated
- Oct 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shraddha Patel, MS RDN
- Title
- Consulting Dietitian
- Phone
- (408) 212-7877
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1053627 | CA | Primary |
Addresses
Primary practice location
3535 Ross Ave
San Jose, CA 95124-3054
Mailing address
3535 Ross Ave
San Jose, CA 95124-3054
Phone (408) 212-7877
Other names 1
- NUTRIVIVA.INC
National Provider Directory
National Provider DirectoryLocations
3535 Ross Ave
San Jose, CA 95124
Phone (408) 212-7877
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- San Jose, CA
- NPI 1982081287
-
- Otolaryngology Physician
- Santa Rosa, CA
- NPI 1770614059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1679066419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 ROSS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243054",
"telephone_number": "408-212-7877",
"fax_number": "408-212-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 ROSS AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243054",
"telephone_number": "408-212-7877",
"fax_number": "408-212-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRIVIVA INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SHRADDHA",
"authorized_official_title_or_position": "CONSULTING DIETITIAN",
"authorized_official_telephone_number": "408-212-7877",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1053627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NUTRIVIVA.INC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.