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GENEVIVE DAMASCO RD
NPI 1215756820
Dietitian, Registered in Oakland, CA

Active since October 09, 2024Accepts Medicare Assignment
3451 E 12TH ST, OAKLAND, CA 94601(510) 535-3700 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genevive Damasco Rd NPPES

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

GENEVIVE DAMASCO RD (NPI 1215756820) is an individual dietitian, registered in Oakland, California, licensed in California (86372091) and active in the NPI registry since October 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1215756820
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGENEVIVE DAMASCOCredential: RD
Location Address3451 E 12TH STOakland, CA 94601-3463
Mailing Address1623 Alcatraz St, Unit FBerkley, CA 94703
Phone(510) 535-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1215756820 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 · 86372091
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.
3451 E 12TH ST, Oakland, CA 94601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Genevive Damasco Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345773644
PECOS Enrollment IDI20241024003684

Medicare Billing Reassignment

Medicare enrollment records show Genevive Damasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De La Raza Inc
Same address
Federally Qualified Health Center (FQHC)
3451 E 12TH ST
Oakland, CA 94601
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1144336181 (510) 535-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KEN MAKIO MARRINER M.D.
Family Medicine
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
MS. MARSHA L GUBSER LCSW
Social Worker (Clinical)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (925) 363-2005
REBECCA RUSH RN
Registered Nurse (Community Health)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3735
MONICA SAN BASILIO FNP
Nurse Practitioner
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
SIVAN SADEH FNP-C
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
ANNA GABRIELA YCAZA RN,FNP-C
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-2940
LAYLA WELBORN FNP
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
DR. JESSIE LIU MD
Hospitalist
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500

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 Genevive Damasco's NPI number?

The NPI number for Genevive Damasco is 1215756820. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Genevive Damasco located?

Genevive Damasco practices at 3451 E 12th St, Oakland, CA 94601. The listed phone number is (510) 535-3700.

What is Genevive Damasco's specialty?

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

Is Genevive Damasco enrolled in Medicare?

Yes. Genevive Damasco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Genevive Damasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genevive Damasco reassigns Medicare benefits to La Clinica De La Raza Inc (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Genevive Damasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Genevive Damasco was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.