MRS. MARA DA LUZ BERNARDO RDN, CSO
NPI 1255904512
Dietitian, Registered - Nutrition, Oncology in Stockton, CA

Q: What is Mara Bernardo's NPI number?

The NPI number for Mara Bernardo is 1255904512. It was assigned to this individual provider in the NPPES registry on July 22, 2021. The provider is also known as Mara Da Luz Owens Rdn, Cso.

Q: What is Mara Bernardo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Oncology, with taxonomy code 133VN1301X.

Q: When was this NPI record last updated?

The NPPES record for Mara Bernardo was last updated on September 20, 2023. 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.

Active since July 22, 2021

415 W BENJAMIN HOLT DR STE B3, STOCKTON, CA 95207(209) 227-0722(866) 862-8832 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mara Da Luz Bernardo Rdn, Cso NPPES

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

MRS. MARA DA LUZ BERNARDO RDN, CSO (NPI 1255904512) is an individual nutrition, oncology provider in Stockton, California, licensed in California (86033078) and active in the NPI registry since July 2021. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1255904512

Entity TypeIndividualFemale

Primary Taxonomy133VN1301X

Provider Legal NameMRS. MARA DA LUZ BERNARDOCredential: RDN, CSO

Location Address415 W BENJAMIN HOLT DR STE B3Stockton, CA 95207-3958

Mailing Address415 W Benjamin Holt Dr Ste B3Stockton, CA 95207-3958 · (209) 227-0722 · Fax (866) 862-8832

Phone(209) 227-0722

Fax(866) 862-8832

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 22, 2021

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1255904512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, OncologyDietary & Nutritional Service Providers

Taxonomy Code133VN1301X

License✔ Licensed in CA · 86033078

Definition

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.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86033078 (CA)

415 W BENJAMIN HOLT DR STE B3, Stockton, CA 95207

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Other Names 1

Former Name (1)Mara Da Luz Owens Rdn, Cso

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mara Da Luz Bernardo Rdn, Cso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335530195

PECOS Enrollment IDI20220105001536

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802

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.

128 services17 patients

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

90 services16 patients

Other Providers at the Same Location NPPES

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

UYAYI ACUPUNCTURE & HERBAL MEDICINE: A PROFESSIONAL CORPORATION

Acupuncturist

415 W BENJAMIN HOLT DR STE B3
STOCKTON, CA 95207

San Joaquin County (209) 670-3847

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 Mara Bernardo's NPI number?

The NPI number for Mara Bernardo is 1255904512. It was assigned to this individual provider in the NPPES registry on July 22, 2021. The provider is also known as Mara Da Luz Owens Rdn, Cso.

Where is Mara Bernardo located?

Mara Bernardo practices at 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207. The listed phone number is (209) 227-0722.

What is Mara Bernardo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Oncology, with taxonomy code 133VN1301X.

Is Mara Bernardo enrolled in Medicare?

Yes. Mara Bernardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mara Bernardo was last updated on September 20, 2023. 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.