Betty Licciardo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

718614 Issued in NU

Practice address

1904 N Orange Grove Ave
Pomona, CA 91767-3008

Phone

(909) 469-1823

Fax

(909) 469-1827

NPI assigned

May 23, 2006

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Betty Slesinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

78.08 of 100Reported as group

Quality

40.87

Promoting interoperability

75

Improvement activities

40

Cost

74.84

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1043265622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DRIVE",
            "address_2": "CHAPARRAL MEDICAL GROUP INC",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673008",
            "telephone_number": "909-469-1823",
            "fax_number": "909-469-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Ervilla Ave.",
            "address_2": "Chaparral Medical Group Inc",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673008",
            "country_code": "US",
            "telephone_number": "909-469-1823",
            "fax_number": "909-469-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICCIARDO",
        "first_name": "BETTY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "718614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "SLESINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence D Li, PA-C
• Timothy Li
• Yik Wai Li
• Yingyue Li, LCGC, SC.M., M.S.
• Liberty Care and Investment Group, Inc. (Access Medical & Diabetic Supply)
• April Kay Liebe, BEHAVIOR TECHNICIAN
• Justin Lien
• Lysa Lynnette Liggins, EDD, PHD
• Laura Lighter
• Johnson Benjamin Lightfoote, M.D.

• Registered Dietitian in Pomona, CA
• Providers in Pomona, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.