Judith Boccanfuso, RD
NPI 1528586617ActiveIndividual· Dietitian, Registered· Santa Rosa, CA
Dietitian, Registered (RD) with Nephrology Associates, practicing in Santa Rosa, California. Medicare paid $5,617 for services to 41 patients in 2024.
Overview
| NPI | 1528586617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Sep 8, 2017 |
| Last updated in NPPES | Sep 6, 2023 |
| Certified by provider | Sep 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 376854 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 179 across 2 procedure codes |
| Paid by Medicare | $5,617 |
Education and affiliations
| Graduation year | 1972 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Nephrology AssociatesSanta Rosa, CA · 7 clinicians
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