Individual provider Active NPI

Jonathon Guzman, RD

  • Renal Nutrition Registered Dietitian
  • Austin, TX
National Provider Identifier
1033919956
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
DT88235 Issued in TX
Practice address
2105 East MLK Blvd
#111
Austin, TX 78702
Phone
(512) 309-1650
NPI assigned
Mar 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X DT88235 TX Primary

Addresses

Primary practice location

2105 East MLK Blvd
#111
Austin, TX 78702

Mailing address

3000 Guadalupe St Apt 103
Austin, TX 78705-2830
Phone (702) 606-2282

Other practice location 1

3000 Guadalupe St Apt 103
Austin, TX 78705-2830
Phone (702) 606-2282

Other names 1

  • Johnny Guzman Professional name

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

State licenses

LicenseStateTypeSpecialty
DT88235TXMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vedic Nutrition LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853

5900 Balcones Dr
#21821
Austin, TX 78731
Phone (512) 309-1650

2105 E Mlk Blvd
Austin, TX 78702
Phone (512) 309-1650

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1033919956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GUADALUPE ST APT 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052830",
            "telephone_number": "702-606-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 EAST MLK BLVD",
            "address_2": "#111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-309-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Guadalupe St Apt 103",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052830",
            "country_code": "US",
            "telephone_number": "702-606-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JONATHON",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT88235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "GUZMAN",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.