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

Sophia Ferguson

Individual provider Registered Dietitian · NPI 1417736083

Sophia Ferguson is a Registered Dietitian in San Leandro, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1440 168th Ave
San Leandro, CA 94578-2409
Phone: (510) 481-8575
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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 86148429 (CA)

Record details

NPI number1417736083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 24, 2023
Mailing address2365 Reading Ave, Castro Valley, CA 94546-6343

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