Active NPI
Savanna Rooff, RD
- Registered Dietitian
- Modesto, CA
National Provider Identifier
1689257123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86156437
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4404 - Phone
- (209) 578-1211
- NPI assigned
- May 3, 2021
- Last updated
- May 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86156437 | CA | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4404
Mailing address
7107 Shoreline Dr
Stockton, CA 95219-5478
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 |
|---|---|---|---|
| 86156437 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1689257123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7107 SHORELINE DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952195478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-578-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOFF",
"first_name": "SAVANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86156437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Dawn Ronquillo
- Florentina Magat Ronquillo, APRN-BC, WHCNP, MSN.
- Rebecca Roope-Oliveira
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- Root to Rise, Marriage Family Therapy
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- Christine Magidie Dumayas Roque, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.