MEDICARE: PAMELA SEMIRAMIS CABRERA-MILBURN RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1004X	Pediatric Nutrition Registered Dietitian	86058728	CA
2	133V00000X	Registered Dietitian	86058728	CA

General Provider Information

NPI Number	:	1558218222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA SEMIRAMIS CABRERA-MILBURN RDN

Provider Business Mailing Address
First Line	:	500 TULLY RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1917
Country	:	US
Telephone Number	:	408-957-8601
Fax Number	:	408-817-1409

Provider Business Practice Location Address
First Line	:	500 TULLY RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1917
Country	:	US
Telephone Number	:	408-957-8601
Fax Number	:	408-817-1409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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