Basic Information
| Provider Information | |||||||||
| NPI: | 1891283727 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOOMEY | ||||||||
| FirstName: | CARA | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1127 COTRA COSTA DR. | ||||||||
| Address2: | |||||||||
| City: | EL CERRITO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507047874 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1727 MARTIN LUTHER KING JR WAY STE 109 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946121358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108939230 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2018 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 86052609 | CA | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.