MR. EARL JUSTIN MACASO (NPI# 1386961456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386961456 |
| Entity Type | Individual |
| Full Name | MR. EARL JUSTIN MACASO |
| Credential | R.D. |
| Practice Address |
1350 W Covina Blvd San Dimas CA 91773-3245 |
| Mailing Address |
10400 Via Palma Montclair CA 91763-4751 |
| Practice Telephone | 9095814324 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1014480 | CA | Dietary & Nutritional Service Providers |
| Street Address |
1350 W COVINA BLVD |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638054 | Roy H Moffatt | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
| 1760007181 | Timothy Minnihan | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-11 |
| 1336764091 | Janice Floria Valledor | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1508481276 | Maria Norma Velvick | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1255956900 | Lori Longmeyer | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1447875190 | Teresa Schmook | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1609491372 | Maria Sagrario Arias Azurin | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1972966828 | Flavien Eric Leclere | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2016-03-29 |
| 1558595967 | Ray Zhao | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2009-05-13 |
| 1720239460 | San Dimas Emergency Medical Associates Inc. | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2008-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1336305507 | Wilma Gloria Gonzalez | Dietitian, Registered | 158 Calle Renata, San Dimas, CA 91773-3956 | 2008-08-06 |
| 1114029824 | Catherine R Heinlein | Dietitian, Registered | 1311 W Greenhaven Ave, San Dimas, CA 91773-3226 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.