Individual provider Active NPI

Mary Kathrin Dubois, RD

  • Registered Dietitian
  • Commerce, CA
National Provider Identifier
1053041574
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
722761 Issued in CA
Practice address
6001 E Washington Blvd Ste 100
Commerce, CA 90040-2451
Phone
(562) 928-9600
NPI assigned
Jun 16, 2022
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 722761 CA Primary

Addresses

Primary practice location

6001 E Washington Blvd Ste 100
Commerce, CA 90040-2451

Mailing address

34162 Capistrano by the Sea
Dana Point, CA 92629-2940
Phone (194) 924-0433

Other practice location 1

6119 Agra St
Bell Gardens, CA 90201-1705
Phone (562) 928-9600

Other practice location 2

6501 Garfield Ave Ste A
Bell Gardens, CA 90201-1805
Phone (562) 928-9600

Other practice location 3

12113 Woodruff Ave Ste A
Downey, CA 90241-5605
Phone (562) 928-9600

Other practice location 4

22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740
Phone (562) 928-9600

Other practice location 5

21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
Phone (562) 928-9600

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
722761CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Centers of Greater Los Angeles, Inc. Past Accepting new patients
Registered Dietitian Consultants Inc Dietitian, Registered PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 2

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1053041574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34162 CAPISTRANO BY THE SEA",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292940",
            "telephone_number": "194-924-0433",
            "fax_number": "949-240-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD STE 100",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119 Agra St",
            "address_purpose": "LOCATION",
            "city": "Bell Gardens",
            "state": "CA",
            "postal_code": "902011705",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Garfield Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Bell Gardens",
            "state": "CA",
            "postal_code": "902011805",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12113 Woodruff Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415605",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22310 Wardham Ave",
            "address_purpose": "LOCATION",
            "city": "Hawaiian Gardens",
            "state": "CA",
            "postal_code": "907161740",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21409 Elaine Ave",
            "address_purpose": "LOCATION",
            "city": "Hawaiian Gardens",
            "state": "CA",
            "postal_code": "907161025",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "MARY",
        "middle_name": "KATHRIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "722761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.