Individual provider Active NPI

Guadalupe Celallos Sanchez, RDN

  • Registered Dietitian
  • San Jose, CA
National Provider Identifier
1023855541
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86378081 Issued in NU
Practice address
1066 S White Rd
San Jose, CA 95127-3812
Phone
(510) 770-8141
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86378081 NU Primary

Addresses

Primary practice location

1066 S White Rd
San Jose, CA 95127-3812

Mailing address

139 Rancho Dr Unit a
San Jose, CA 95111-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513001534 CA Practitioner - Registered Dietitian Or Nutrition Professional 2860910981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Mar 1, 2025 Accepting new patients
Bay Area Community Health CurrentSince Mar 1, 2025 Accepting new patients
San Jose Foothill Family Community Clinic, Inc. PastSince Jul 21, 2024 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1066 S White Rd
Ste 170
San Jose, CA 95127

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1023855541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 RANCHO DR UNIT A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951114408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273812",
            "telephone_number": "510-770-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELALLOS SANCHEZ",
        "first_name": "GUADALUPE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86378081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.