Individual provider Active NPI

Anna Prochowska-Shkarovetskyy, RDN

  • Registered Dietitian
  • San Clemente, CA
National Provider Identifier
1043153661
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86376585 Issued in CA
Practice address
942 Calle Amanecer Ste B
San Clemente, CA 92673-6220
Phone
(949) 584-0159
NPI assigned
Apr 9, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 86376585 CA Primary

Addresses

Primary practice location

942 Calle Amanecer Ste B
San Clemente, CA 92673-6220

Mailing address

942 Calle Amanecer Ste B
San Clemente, CA 92673-6220

Other names 1

  • Anna Prochowska Former 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
86376585CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1043153661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 CALLE AMANECER STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 CALLE AMANECER STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736220",
            "telephone_number": "949-584-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHOWSKA-SHKAROVETSKYY",
        "first_name": "ANNA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86376585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PROCHOWSKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.