Active NPI
Crystal Ortiz, RDN
- Registered Dietitian
- West Covina, CA
National Provider Identifier
1073026324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86040347
- Practice address
- 420 S Glendora Ave
West Covina, CA 91790-3001 - Phone
- (626) 919-5724
- NPI assigned
- Nov 8, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 86040347 | CA | Primary |
Addresses
Primary practice location
420 S Glendora Ave
West Covina, CA 91790-3001
Mailing address
3025 Via Breve
Montebello, CA 90640-2202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86040347 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1073026324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 VIA BREVE",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903001",
"telephone_number": "626-919-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CRYSTAL",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86040347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.