Active NPI
Patricia Dawn Yarnal Gonzalez, REGISTERED DIETITIAN
- Registered Dietitian
- Woodlake, CA
National Provider Identifier
1033784459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 178 N Acacia St
Woodlake, CA 93286-1402 - Phone
- (209) 402-9265
- NPI assigned
- May 26, 2021
- 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 | Primary |
Addresses
Primary practice location
178 N Acacia St
Woodlake, CA 93286-1402
Mailing address
178 N Acacia St
Woodlake, CA 93286-1402
Phone (209) 402-9265
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1033784459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 N ACACIA ST",
"city": "WOODLAKE",
"state": "CA",
"postal_code": "932861402",
"telephone_number": "209-402-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 N ACACIA ST",
"city": "WOODLAKE",
"state": "CA",
"postal_code": "932861402",
"telephone_number": "209-402-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARNAL GONZALEZ",
"first_name": "PATRICIA",
"middle_name": "DAWN",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.