REBECCA A SUGUMAR R.D.
NPI 1164794707
Dietitian, Registered in Campbell, CA

Active since January 28, 2012Opted out of Medicare · through Mar 14, 2027
621 E CAMPBELL AVE, SUITE # 6 B, CAMPBELL, CA 95008(408) 370-7731(408) 370-7732 Get Directions Write a Review

NPPES record last updated: January 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca A Sugumar R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA A SUGUMAR R.D. (NPI 1164794707) is an individual dietitian, registered in Campbell, California, licensed in California (1051874) and active in the NPI registry since January 2012. She has opted out of Medicare through March 14, 2027.

NPPES Registry Identity

NPI1164794707
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameREBECCA A SUGUMARCredential: R.D.
Location Address621 E CAMPBELL AVE, SUITE # 6 BCampbell, CA 95008-2139
Mailing Address844 Louise DrSunnyvale, CA 94087-4138 · (408) 739-1897
Fax(408) 370-7732
Sole ProprietorNo
Enumeration DateJanuary 28, 2012
NPI 1164794707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in CA · 1051874
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
621 E CAMPBELL AVE, Campbell, CA 95008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Rebecca A Sugumar R.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 14, 2025 through March 14, 2027.

Opt-Out Effective DateMarch 14, 2025
Opt-Out In Effect ThroughMarch 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
621 E CAMPBELL AVE, 11 D
CAMPBELL, CA 95008
Optometrist
621 E CAMPBELL AVE, #11-B
CAMPBELL, CA 95008
Acupuncturist
621 E CAMPBELL AVE, SUITE 8
CAMPBELL, CA 95008
Dietitian, Registered
621 E CAMPBELL AVE, SUITE 6B
CAMPBELL, CA 95008
Psychologist (Counseling)
621 E CAMPBELL AVE, SUITE 17
CAMPBELL, CA 95008
Pharmacy (Long Term Care Pharmacy)
621 E CAMPBELL AVE, STE 1
CAMPBELL, CA 95008
Psychologist
621 E CAMPBELL AVE, # 11-C
CAMPBELL, CA 95008
Acupuncturist
621 E CAMPBELL AVE, 16B
CAMPBELL, CA 95008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Sugumar's NPI number?

The NPI number for Rebecca Sugumar is 1164794707. It was assigned to this individual provider in the NPPES registry on January 28, 2012.

Where is Rebecca Sugumar located?

Rebecca Sugumar practices at 621 E Campbell Ave Suite # 6 B, Campbell, CA 95008. The listed phone number is (408) 370-7731.

What is Rebecca Sugumar's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Rebecca Sugumar enrolled in Medicare?

No. Rebecca Sugumar has opted out of Medicare through March 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Sugumar was last updated on January 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.