Mara Blanco
NPI 1407687767ActiveIndividual· Dietitian, Registered· Fresno, CA
Dietitian, Registered in Fresno, California, trained at University of California, Davis School of Medicine (class of 2020). Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1407687767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 9, 2024 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Jul 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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
| Medical school | University of California, Davis School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Department of Veterans Affairs of the State of CaliforniaRedding, CA · 18 clinicians
Other Dietitian, Registered providers in Fresno
- 1598632226
- 1336763473
- 1932435484
- 1225937766
- 1366171977
- 1760224240
- 1861586307
- 1720199532
- 1942948468
- 1619030434
- 1174624183
- 1821275942