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

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