Active NPI
Vanessa Avila, R.D.
- Registered Dietitian
- Pasadena, CA
National Provider Identifier
1023550324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86021194
- Practice address
- 680 E Colorado Blvd Ste 180
Pasadena, CA 91101-6144 - Phone
- (626) 648-5315
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86021194 | CA | Primary |
Addresses
Primary practice location
680 E Colorado Blvd Ste 180
Pasadena, CA 91101-6144
Mailing address
5831 Ramon CT
Commerce, CA 90040-3804
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86021194 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1023550324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 RAMON CT",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900403804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E COLORADO BLVD STE 180",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016144",
"telephone_number": "626-648-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "VANESSA",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86021194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.