Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genevive Damasco, RD

Individual provider Registered Dietitian · NPI 1215756820

Genevive Damasco, RD is a Registered Dietitian OR Nutrition Professional in Oakland, California. Qualified in 2023, 3 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3451 E 12th St
Oakland, CA 94601-3463
Phone: (510) 535-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86372091 (CA)

Record details

NPI number1215756820
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address1623 Alcatraz St, Unit F, Berkley, CA 94703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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