Healthcare Provider Details

I. General information

NPI: 1750516944
Provider Name (Legal Business Name): RUTH SCHRAGER MPH, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2447 SANTA CLARA AVE STE 301
ALAMEDA CA
94501-4579
US

IV. Provider business mailing address

2447 SANTA CLARA AVE SUITE 301
ALAMEDA CA
94501-4575
US

V. Phone/Fax

Practice location:
  • Phone: 510-872-2199
  • Fax: 510-337-9290
Mailing address:
  • Phone: 510-872-2199
  • Fax: 510-337-9290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number975861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: