Provider Demographics
NPI:1770459745
Name:HOUSMAN, SARA (RD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HOUSMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BYRON DR APT 4C
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2152
Mailing Address - Country:US
Mailing Address - Phone:559-360-3172
Mailing Address - Fax:
Practice Address - Street 1:1330 BYRON DR APT 4C
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2152
Practice Address - Country:US
Practice Address - Phone:559-360-3172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA968117133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered