Varvara Seliutina Gowen

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86089686 Issued in CA

Practice address

2377 Gold Meadow Way Ste 100
Gold River, CA 95670-4444

Phone

(916) 965-4012

Fax

(916) 965-1082

NPI assigned

Jul 15, 2021

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2019

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986
  Medicare reassignment NPD
• Varvara Gowen Nutrition for You

  • Registered Dietitian
  • Gold River, CA
  • NPI 1568387371
  Authorized official Same address or phone
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740852045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 EL VALLE WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434972",
            "telephone_number": "916-532-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY STE 100",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704444",
            "telephone_number": "916-965-4012",
            "fax_number": "916-965-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Alhambra Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165238",
            "country_code": "US",
            "telephone_number": "916-532-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "VARVARA",
        "middle_name": "SELIUTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86089686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feather Gaither, PSY.D
• Nasser Ganji
• Yogita Rastogi Garg
• Jenna Lee Ghazanfari, LMFT
• Linda J Goode, LCSW
• Grace Psychological Associates Inc
• Clifford Stanley Graves, DMIN.
• Tanya Grubaugh, LCSW
• H Randolph Brown O D Inc
• Susan Eileen Haverty

• Registered Dietitian in Gold River, CA
• Providers in Gold River, 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 7, 2022; 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.