IndividualActive
Chenyuan Wang
NPI 1104458587 · Registered Dietitian · Sunnyvale, CA
Provider details
- NPI number
- 1104458587
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86097712 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 San Lucar Ct
Sunnyvale, CA 94086-5213
Phone: (855) 816-7705
Street-level locationGet directions
Mailing address
4407 Irisview Pl
San Ramon, CA 94582-5412
Additional practice locations (1)
- 325 5th Ave Apt 24aNew York, NY 10016-5042Phone: (917) 528-9141
Registry dates
- Enumerated
- 2020-02-04
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.