Healthcare Provider Details

I. General information

NPI: 1992257364
Provider Name (Legal Business Name): NATALIE GAVI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 RANCHO RD
TEMPLETON CA
93465-9676
US

IV. Provider business mailing address

4150 RANCHO RD
TEMPLETON CA
93465-9676
US

V. Phone/Fax

Practice location:
  • Phone: 424-235-0164
  • Fax:
Mailing address:
  • Phone: 424-235-9164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD-D-10179109
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86011825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: