Erva Santoso, RDN

Registered Dietitian · Fort Bliss, TX

Individual Active NPI

NPI number 1962032045

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone
(718) 360-7472

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NPI record

NPI
1962032045
Entity type
Individual (Type 1)
Enumeration date
January 17, 2020
Last updated
July 29, 2025
Certified
July 29, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 1072186 —
Registered Dietitian 133V00000X 205-LD HI

Mailing address

11400 Edgemere Blvd Apt 3113
El Paso, TX 79936-2426
Phone
(718) 360-7472

About Erva Santoso

Erva Santoso, RDN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 18511 Highlander Medics St, Fort Bliss, TX 79906-5327. The NPI number 1962032045 was assigned on January 17, 2020 and the record was last updated on July 29, 2025.

Erva Santoso lists 2 licenses in the registry: #1072186 for Registered Dietitian; #205-LD (HI) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Erva Santoso, RDN?

The NPI number is 1962032045.

What is the phone number of Erva Santoso?

The phone number listed for the practice location is (718) 360-7472.

Where is Erva Santoso located?

18511 Highlander Medics St, Fort Bliss, TX 79906-5327.

What is the taxonomy code for Erva Santoso?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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