Pauline Chau, RD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

717086 Issued in CA

Practice address

1828 El Camino Real Ste 407
Burlingame, CA 94010-3115

Phone

(650) 678-2904

NPI assigned

Jan 30, 2021

Reactivated

Sep 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pauline Chau Nutrition, LLC

  • Registered Dietitian
  • Burlingame, CA
  • NPI 1790459915

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1700477932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 WAKEFIELD DR",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022935",
            "telephone_number": "650-678-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL STE 407",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103115",
            "telephone_number": "650-678-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 Wakefield Dr",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940022935",
            "country_code": "US",
            "telephone_number": "650-678-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "RD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "deactivation_date": "2021-08-02",
        "reactivation_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "717086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Davey Chang, MD MS
• Dickson Chang, DPT
• Sarah Chang
• Erica Becky Louie Chao, LCSW
• Sierra Jess Chapman
• Monazza Navid Chaudhry, RPH
• Daniel Chavez-Luviano
• Juan-Carlos Manuel Chavez, PA-C
• Felix An Hua Chen, MD PHD
• Flora Chen, MD

• Registered Dietitian in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.