MRS. MARA DA LUZ BERNARDO RDN, CSO
NPI 1255904512
Dietitian, Registered - Nutrition, Oncology in Stockton, CA
NPI Status: Active since July 22, 2021
Contact Information
415 W BENJAMIN HOLT DR STE B3
STOCKTON, CA
ZIP 95207
Phone: (209) 227-0722
Fax: (866) 862-8832
- Individual
- Female
- Years of Experience 12
- Dietitian, Registered
- Nutrition, Oncology
- May Accept Medicare Approved Payment
About MARA BERNARDO
This page provides the complete NPI Profile along with additional information for Mara Bernardo, a provider established in Stockton, California with a medical specialization in Dietitian, Registered, focusing in nutrition, oncology and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1255904512 assigned on July 2021. The practitioner's primary taxonomy code is 133VN1301X with license number 86033078 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1255904512
- Provider Name
- MRS. MARA DA LUZ BERNARDO RDN, CSO
- Other Name
- MARA DA LUZ OWENS RDN, CSO
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 415 W BENJAMIN HOLT DR STE B3 STOCKTON, CA 95207
- Location Phone
- (209) 227-0722
- Location Fax
- (866) 862-8832
- Mailing Address
- 415 W BENJAMIN HOLT DR STE B3 STOCKTON, CA 95207
- Mailing Phone
- (209) 227-0722
- Mailing Fax
- (866) 862-8832
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2021
- Last Update Date
- 09-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Oncology
- Taxonomy Code
- 133VN1301X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 86033078
- License State
- CA
- Taxonomy Description
- An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 86033078 (CA) |
Medicare Participation & PECOS Enrollment Status
Mara Bernardo is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9335530195
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220105001536
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Therapy procedure for nutrition management, each 15 minutes
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
This service was performed 95 times for 15 patientsReviews for MRS. MARA DA LUZ BERNARDO RDN, CSO
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255904512, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
STOCKTON, CA 95207
STOCKTON, CA 95207
STOCKTON, CA 95207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255904512, enumerated as an "individual" on July 22, 2021.
The provider is located at 415 W BENJAMIN HOLT DR STE B3 STOCKTON, CA 95207 and the phone number is (209) 227-0722.
Dietitian, Registered with taxonomy code 133VN1301X and a focus in Nutrition, Oncology.
