Individual provider Active NPI

Brittanie Kristen-Miller Tovar, RD

  • Registered Dietitian
  • Sacramento, CA
National Provider Identifier
1922415660
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1100341 Issued in CA
Practice address
1201 Alhambra Blvd Ste 410
Sacramento, CA 95816-5243
Phone
(916) 774-8885
Fax
(916) 774-8818
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1100341 CA Primary

Addresses

Primary practice location

1201 Alhambra Blvd Ste 410
Sacramento, CA 95816-5243

Mailing address

3100 Douglas Blvd Ste 204
Roseville, CA 95661-3868
Phone (916) 774-8885

Other practice location 1

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 339-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000667 CA Practitioner - Registered Dietitian Or Nutrition Professional 1759500259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2 Medical Plaza Dr
Roseville, CA 95661-3042

2800 L St
Sacramento, CA 95816-5616

3100 Douglas Blvd
Roseville, CA 95661-3866
Phone (916) 774-8500

685 Twelve Bridges Dr
Lincoln, CA 95648-8689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Feb 24, 2017 Accepting new patients
Lodi Memorial Hospital Association Inc Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jul 1, 2014 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Lodi Memorial Hospital Association, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 24, 2017 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

2415 W Vine St
Ste 105
Lodi, CA 95242
Phone (209) 333-3121

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1235 W Vine St
Ste 22
Lodi, CA 95240
Phone (209) 334-8520

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

7 Medical Plaza Dr
Ste 420
Roseville, CA 95661

3100 Douglas Blvd
Ste 204
Roseville, CA 95661
Phone (916) 772-7190

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2505 W Hammer Ln
Stockton, CA 95209
Phone (209) 954-3370

445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1922415660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DOUGLAS BLVD STE 204",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613868",
            "telephone_number": "916-774-8885",
            "fax_number": "916-774-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165243",
            "telephone_number": "916-774-8885",
            "fax_number": "916-774-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 S Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952405118",
            "country_code": "US",
            "telephone_number": "209-339-7435",
            "fax_number": "209-333-3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "BRITTANIE",
        "middle_name": "KRISTEN-MILLER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1100341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.