Active NPI
Diane J Ungson
- Nutritionist
- French Camp, CA
National Provider Identifier
1003969221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 570581
- Practice address
- 500 W. Hospital Rd
French Camp, CA 95231-9989 - Phone
- (209) 468-6000
- Fax
- (209) 468-7042
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 570581 | CA | Primary |
Addresses
Primary practice location
500 W. Hospital Rd
French Camp, CA 95231-9989
Mailing address
PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570581 | Other | CA | REGISTERD DIETICIAN NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570581 | CA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003969221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952013120",
"telephone_number": "209-468-6000",
"fax_number": "209-468-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W. HOSPITAL RD",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952319989",
"telephone_number": "209-468-6000",
"fax_number": "209-468-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGSON",
"first_name": "DIANE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "570581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERD DIETICIAN NUMBE",
"identifier": "570581",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in French Camp, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.