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

Ronwald Vicencio, RD

Individual provider Registered Dietitian · NPI 1053666230

Ronwald Vicencio, RD is a Registered Dietitian in Alameda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

753 Lincoln Ave Apt B
Alameda, CA 94501-3330
Phone: (510) 610-8307
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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 1107190 (CA)

Record details

NPI number1053666230
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address753 Lincoln Ave Apt B, Alameda, CA 94501-3330

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