ELIZABETH CASTILLEJO (NPI# 1609319045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609319045 |
Entity Type | Individual |
Full Name | ELIZABETH CASTILLEJO |
Practice Address |
150 Tejas Pl Nipomo CA 93444-9123 |
Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
Practice Telephone | 8059293211 |
Practice Fax Number | 8059296359 |
Mailing Telephone | 8053618028 |
Mailing Fax Number | 8053618097 |
Enumeration Date | 2016-12-01 |
Last Update Date | 2016-12-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 913637 | CA | Dietary & Nutritional Service Providers |
Street Address |
150 TEJAS PL |
City | NIPOMO |
State | CA |
Zip Code | 93444-9123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952390254 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2005-10-19 |
1295355865 | Alberta Vega | Dental Hygienist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2020-04-23 |
1891331641 | Alice Wong | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-26 |
1629613146 | Erica Arkiszewski | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-07 |
1740833565 | Jillianne Quinn | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-21 |
1316509193 | Kyle Cohen | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-02 |
1972081511 | Efren Jose Almeida | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-08-06 |
1457838658 | Jennifer Phuong Chung | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-07-20 |
1043768336 | Robert Alan Reed | Pharmacist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-09-14 |
1760840680 | Franco Jason Castrejon | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-02-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
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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 |
---|---|---|---|---|
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.