Provider Demographics
NPI:1396632238
Name:DEMASI, TAYLOR (RD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:DEMASI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7796 COOLIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-5245
Mailing Address - Country:US
Mailing Address - Phone:510-305-8175
Mailing Address - Fax:
Practice Address - Street 1:7796 COOLIDGE CT
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-5245
Practice Address - Country:US
Practice Address - Phone:510-305-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered