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

Individual provider Registered Dietitian · NPI 1417237298

Vicky V Bourdaniotis, RD is a Registered Dietitian in Roseville, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3100 Douglas Blvd
Roseville, CA 95661-3866
Phone: (916) 774-8885
Fax: (916) 774-8818
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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 1045819 (CA)

Record details

NPI number1417237298
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011
Mailing addressPo Box 255228, Sacramento, CA 95865-5228

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