Individual provider Active NPI

Amy Jo Pivato, R.D.

  • Registered Dietitian
  • Santa Maria, CA
National Provider Identifier
1083922744
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
999162 Issued in CA
Practice address
2125 Centerpointe Pkwy Ste 302
Public Health Department
Santa Maria, CA 93455-1337
Phone
(805) 346-8458
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X 999162 CA Primary

Addresses

Primary practice location

2125 Centerpointe Pkwy Ste 302
Public Health Department
Santa Maria, CA 93455-1337

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316

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
999162CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1083922744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CENTERPOINTE PKWY STE 302",
            "address_2": "PUBLIC HEALTH DEPARTMENT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551337",
            "telephone_number": "805-346-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVATO",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "999162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.