Provider Demographics
NPI:1306182258
Name:BERJIS, SAHAR (RD)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:BERJIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LA CASA VIA
Mailing Address - Street 2:STE 205
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3017
Mailing Address - Country:US
Mailing Address - Phone:925-464-3916
Mailing Address - Fax:925-954-7575
Practice Address - Street 1:1399 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE 14
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2884
Practice Address - Country:US
Practice Address - Phone:925-566-4429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00928634133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered