Mai Der Xiong, RD
Dietitian, Registered in Sacramento, CA. Individual provider (NPI-1).
NPI number1093436636
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1093436636
- Entity type
- Individual (NPI-1)
- Name
- Mai Der Xiong
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2022
- Certification date
- Sep 10, 2022
- Last updated
- Sep 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
2315 Stockton BlvdSacramento, CA 95817-2201
Phone 916-734-1545
Mailing address
3175 Data Dr Apt 3502Rancho Cordova, CA 95670-6460
Phone 916-806-1729
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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