Active NPI
Theora Dobronte, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1104461680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008696
- Practice address
- 2869 Historic Decatur Rd
San Diego, CA 92106-6176 - Phone
- (858) 437-5222
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 86008696 | CA | Primary |
Addresses
Primary practice location
2869 Historic Decatur Rd
San Diego, CA 92106-6176
Mailing address
3805 Ingraham St Apt 312
San Diego, CA 92109-6499
Phone (831) 236-4714
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 |
|---|---|---|---|
| 86008696 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1104461680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 INGRAHAM ST APT 312",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921096499",
"telephone_number": "831-236-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2869 HISTORIC DECATUR RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921066176",
"telephone_number": "858-437-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRONTE",
"first_name": "THEORA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86008696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.