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

Logan Ledbetter, RD, CNSC

Individual provider Registered Dietitian · NPI 1457883068

Logan Ledbetter, RD, CNSC is a Physician Assistant in Roseville, California. Graduated from Loma Linda University School of Medicine in 2020, 6 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3 Medical Plaza Dr
Roseville, CA 95661-3087
Phone: (916) 774-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1178331 (CA)
Registered Dietitian Taxonomy 133V00000X · Licence 86006556 (CA)

Record details

NPI number1457883068
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , CNSC
Sole proprietorNo
NPI enumeratedApril 2, 2017
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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