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

Judith Boccanfuso, RD

Individual provider Registered Dietitian · NPI 1528586617

Judith Boccanfuso, RD is a Registered Dietitian OR Nutrition Professional in Santa Rosa, California. Qualified in 1972, 54 years ago. Practices with Nephrology Associates, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
54
Licensed in
CA
In the registry since
2017
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

2301 Circadian Way Ste A
Santa Rosa, CA 95407-5457
Phone: (707) 526-2027
Fax: (707) 526-2096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 376854 (CA)

Record details

NPI number1528586617
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address2301 Circadian Way Ste A, Santa Rosa, CA 95407-5457

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Nephrology Associates — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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