Antonia Gennock, MS, RD
NPI 1255857678ActiveIndividual· Dietitian, Registered· Fresno, CA
Dietitian, Registered (MS, RD) with Department of Veterans Affairs of the State of California, practicing in Fresno, California. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1255857678 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD |
| Sole proprietor | No |
| NPI issued | Aug 17, 2017 |
| Last updated in NPPES | Aug 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1091076 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CA) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Department of Veterans Affairs of the State of CaliforniaRedding, CA · 18 clinicians
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All 114 registered dietitians in Fresno · All registered dietitians in California