Provider Demographics
NPI:1003522673
Name:SAFFI, SAHAR (RDN)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:SAFFI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2037
Mailing Address - Country:US
Mailing Address - Phone:510-809-5253
Mailing Address - Fax:
Practice Address - Street 1:4109 BROADMOOR CMN APT 113
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-7012
Practice Address - Country:US
Practice Address - Phone:510-506-4659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1020683OtherCOMMISSION ON DIETETIC REGISTRATION